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Maternal Newborn-MJ > T2-Induction and Augmentation > Flashcards

T2-Induction and Augmentation Flashcards

1
Q

The chemical or mechanical initiation of UC before their spontaneous onset for the purpose of bringing about birth

A

Induction of labor

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2
Q

What is the most important predictor of successful induction?

A

Cervical ripeness

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3
Q

What Bishop score usually means the induction of labor will be successful?

A

8 or higher

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4
Q

The stimulation of UC after labor has started spontaneously and progress is unsatisfactory

A

Augmentation

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5
Q

What do prostaglandins do?

A

Used to “ripen” (thin and soften) the cervix

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6
Q

T/F: After giving a prostaglandin sometimes women will spontaneously begin laboring, thereby eliminating the need to administer oxytocin to induce labor

A

True

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7
Q

What are some examples of physical methods used for induction/augmentation?

A
  • Sex (prostaglands in semen)
  • Nipple stimulation (release of endogenous oxytocin from pit. gland)
  • Walking (gravity applies pressure to cervix and that stimulates secretion of endogenous oxytocin)
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8
Q

Artificial ROM

A

Amniotomy

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9
Q

T/F: Amniotomy is often used in combo with oxytocin induction

A

True

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10
Q

Stimulates UC and aids in milk let down

A

Oxytocin

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11
Q

Stimulation of ineffective UC after labor has started spontaneously but is not progressing satisfactorily

A

Augmentation of labor

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12
Q

Rating system to evaluate inability of the cervix; a higher score increases the rate of successful induction of labor

A

Bishop score

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13
Q

Birth of the fetus by an incision through the abdominal wall and uterus

A

C-section

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14
Q

Birth in which forceps are used to assist in delivery of the fetal head

A

Forcep assisted delivery

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15
Q

Birth iqvolinv attachment of a vacuum cup to fetal head and using negative pressure to assist in birth of fetus

A

Vacuum assist delivery

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16
Q

Period of observation to determine if a laboring woman is likely to be successful in progressing to a vaginal birth

A

Trial of labor

17
Q

No elective induction until the woman reaches _____

A

39 weeks

18
Q

What are indications for induction? (8)

A
  • Chorioamnionitis
  • Diabetes mellitus
  • Fetal death
  • HTN complications of preg
  • Isoimmunization
  • IUGR
  • PROM with established fetal maturity
  • Post term preg, especially with oligodyrdaminos
19
Q

What are contraindications for induction? (7)

A
  • Acute, fetal distress
  • Face presentation
  • Floating fetal presenting part
  • Placenta previa
  • Previous uterine incision that prohibits trial of labor
  • Shoulder presentation
  • Uncontrolled hemorrhage
20
Q

What are the 5 relative contraindications for induction?

A
  • Grand multiparty that ended after 20 weeks gestation
  • Multiple gestation
  • Suspected CPD
  • Breech presentation
  • Inability to adequately monitor FHR or UC (or both) throughout labor
21
Q

What is synthetic form of oxytocin?

A

Pitocin

22
Q

What are examples of prostaglandins?

A
  • Cervidel
  • Cytotec
  • Prepidil
23
Q

What prostaglandin is not approved by the FDA as a cervical ripening agent?

A

Cervidel

24
Q

What are some herbal supplements used as chemical methods?

A
  • Black cohosh
  • Raspberry leaves
  • Primrose oil
25
Q

What do we need to have ready if contractions become too close together?

A

IV fluids and terbutaline

26
Q

Why has terbutaline been contraindicated in some hospitals?

A

Its effects on the heart–it can cause tachycardia

27
Q

What mechanical dilator is made of seaweed? What is the effect on the pt.?

A

Laminaria tents–> makes them very nauseated

28
Q

What do mechanical dilators do?

A

Ripen the cervix by stimulating the release of endogenous prostaglandins

29
Q

What does ingestion of castor oil do?

A

Stripping the membranes

30
Q

What is the difference in augmentation and induction?

A

Augmentation labor has already started its just moving slowly….induction is initiation of the UC before they have started

Maternal Newborn-MJ (29 decks)

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