1 / 19

induction of labour

nursing education

today5
Download Presentation

induction of labour

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. PRESENTED BY:-ABHILASHA VERMAM.Sc. Prev. PRESENTATION ON INDUCTION OF LABOUR

  2. DEFINITION: INDUCTION- “It is defined as artificial stimulation of uterine contraction before the spontaneous onset of labor with aim of achieving delivery by any method i.e medical, surgical and combined methods” AUGMENTATION- “Stimulation of spontaneous uterine contractions both in frequency and intensity, that are considered inadequate because of failed cervical dilation and fetal descent”

  3. INDICATION: • Maternal medical complication: • Pregnancy induced hypertension ( Precelampsia & Eclampsia) • Diabetes mellitus • Cholestasis of pregnancy • Postmaturity • Abruptioplacentae • IUGR • IUFD • PROM • Major congenital abnormalilty • Unstable lie after correction into longitudinal lie

  4. CONTRAINDICATION: • Contracted pelvis & cephalo-pelvic disproportion. • Malpresentation( Breech, transverse or oblique lie) • Previous hysterotomy. • Unexplained vaginal bleeding, vasaprevia & placenta previa. • Active genital herpes infection. • High risk pregnancy with fetal compromise • Pelvic tumor • Elderly primigravida with obstetric or medical complication. • Cervical carcinoma.

  5. RISKS: • Maternal Risk- • Psychological upset, Failure leading to Cesarean section • Uterine hyper-stimulation • Rupture uterus • Intrauterine infection, Chorio-amnionitis • Precipitate labor • Increased risk of operative vaginal delivery • Increased risk of post partum hemorrhage • AbruptioPlacentae • APH

  6. Fetal Risk: • Fetal distress . • Fetal death • Neonatal sepsis • Iatrogenic delivery of a preterm infant • Cord prolapse • Increased risk of birth trauma • Hypoxia due to uterine dysfunction.

  7. CRITARIA FOR INDUCTION OF LABOR: • MATERNAL- • Confirm maternal indication for induction. • Review contraindication to vaginal delivery. • Perform clinical pelvimetery to assess shape and adequacy of pelvis. • Assess BISHOP score ( Score > 6, favorable) • Adequate counselling about risks, benefits, alternative of induction of labour. ii) FETAL- • Ensure fetal gestational age • Estimate fetal weight • Ensure fetal lung maturation status. • Ensure fetal presentation & lie. • Confirm fetal wellbeing.

  8. BISHOP- SCORING

  9. METHOD OF INDUCTION OF LABOR:

  10. MECHANICAL METHODS i) Hygroscopic dialators ii) Balloon dialators.

  11. iii) MEMBRANE SWEEP

  12. MEDICAL METHODS:- Drugs used are:- Prostaglandins Oxytocin

  13. SURGICAL METHOD ARTIFICIAL RUPTURE OF MEMBRANE

  14. ARTIFICIAL RUPTURE OF MEMBRANE • Membranes are ruptured by using a specialized tool, i.eamnii hook , amnicot to induce or accelerate labour. • Mechanism of action- • Stretching of cervix • Separation of membrane • Release of prostaglandins • Reduction of amniotic fluid volume.

  15. ARTIFECIAL RUPTURE OF MEMBRANE

  16. COMBINED METHOD • Combined mechanical, medical, and surgical methods are used to increase effecacy of induction by reducing the induction-delivery interval.

  17. THANK YOU

More Related