week 6 augmentation/induction of labour Flashcards
whats the main difference between induction of labour and augmentation
induction is creating labour augmentation is making it go faster
what are the 6 priority situations to augment labour
- pre eclampsia
- stable antepartum hemmorhage
- chorioamnionitis
- suspected fetal compromise
- PPROM with GBS positive status
what do we use bishop score for
to determine how to go about augmenting or inducing labour. for example if their cervix is soft and dilated we won’t give cervical ripening agents
what is the route for oxytocin admin
IV piggyback
what are the four chemical cervical ripening agents
cervidil
prostin
prepedil
misoprotisol
what do we monitor when administering a chemical cervical ripening agent
EFM x 1 hour
eduction on when to return to triage
what are the two mechanical methods of cervical ripenin
balloon cath
membrane sweep
when should you preform an amniotomy
when fetal head is engaged
what is the nursing care after an amniotomy
assess FHR
note the time and what it looks like
monitor temp Q2 hours
pericarp
what are the contraindications for oxytocin
- anything that indicates no vaginal birth (CPD, cord prolapse, transverse lie, placenta previa,)
abnormal FHR
risk of uterine rupture
any infections in the vagina or cervix
adverse effects of oxytocin
tachysystole
placental abruption
uterine rupture
caesarian due to abnormal FHR patterns
PPH
infection if membranes are ruptured for too long
emergency care for A/E of oxytocin
turn off
lateral position
IV bolus
O2 maybe
nitro to decrease IU activity
NOTIFY OB
how does one treat a puncture headache
treat with blood patch: basically means put blood into the space
