OBN: Induction and Augmentation of Labor

Question 1

Conditions where oxytocin is not allowed for induction and augmentation of labor

Answer 1

1. Abnormal fetal presentation
2. Uterine overdistention
3. High parity
4. Uterine scar

Question 2

Conditions on when to stop administration of oxytocin

Answer 2

1. Contractions are 5x in 10 minuts
2. Contractions are 7x in 15 minutes
3. When contractions are longer than 60 to 90 minutes
4. If fetal heart rate is non-reassuring

Question 3

____ is stimulation of contraction before spontaneous onset of labor

Answer 3

Induction of labor

Failure of induction happens if 12 hours of oxytocin after ruptured BOW without progress

Question 4

____ is stimulation of spontaneous contraction (already occurring) that is inadequate because of failure of cervical dilatation/descent of fetus.

Answer 4

Augmentation of Labor

Question 5

___indications for induction of labor

Answer 5

1. Ruptured BOW
2. Maternal HPN
3. Nonreassuring fetal status
4. Postterm gestation

Question 6

Cite the bishop scoring

Answer 6

D close 1-2 | 3-4 | >= 5
E 0-30% | 40-50% | 60-70% | >= 80%
S -3 | -2 | -1 | +1 or 2
P posterior | mid | anterior | ----
C firm | medium | soft | ---

2 - score of 2 is 3-4 cm, 60-70%, soft, anterior, -1

Question 7

____ refers to the degree of decrease in cervical length

Answer 7

effacement

Question 8

Dinoprostone is a _____ class of drug. Its MOA is that it dissolves collagen bundles, increase water content at submucosa.

Answer 8

PGE2

Question 9

1 hour post administration of dinoprostone, there was hyperstimulation which is ___ contractions in 10 minutes x 6 minutes

Answer 9

6

PGE1 - E1 mong bukas (in PDA)

Question 10

___ is a s synthetic PGE1 drug that hypertsimulates uterus and increases FHR.

Answer 10

Misoprostol