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Inductions & Augmenting Labor

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Review of Pitocin, AROM, Cervical Ripening Agents and Sweeping/Stripping the membranes
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4 Categories 16 Questions
Performed by Health Care Provider, using their fingers to gently pull away the outer layer of the amniotic sac from the wall of the uterus near the cervix. The cervix must be partially dilated for this to be possible. A synthetic form of oxytocin, the hormone which causes contractions, adminstered through an IV.
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Questions
Number of categories
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5
6
Questions per category
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5 6
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Category 1
Q.
Performed by Health Care Provider, using their fingers to gently pull away the outer layer of the amniotic sac from the wall of the uterus near the cervix. The cervix must be partially dilated for this to be possible.
A.
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What is Sweeping/Stripping the membranes?
Q.
A synthetic form of oxytocin, the hormone which causes contractions, adminstered through an IV.
A.
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What is Pitocin?
Q.
Health Care Provider tears the amniotic sac with an amnihook, done in hopes that the increased pressure of the baby's head against the cervix will cause dilation.
A.
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What is AROM?
Q.
A synthetic form of prostaglandins placed next to or applied onto the cervix. There are various forms of this medication with different advantages and drawbacks.
A.
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What is cervical ripening?
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Category 2
Q.
Potential side effects include fever, nausea, possible fetal distress due to hyperstimulation of the uterus, a higher risk of eventual cesarean birth and increased risk of infection.
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What is cervical ripening?
Q.
May cause conx to become too strong and/or long, so increased discomfort for the birther. May lead to fetal distress, an increased risk of having baby with lower APGAR score or admission to NICU.
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What is pitocin?
Q.
Increases risk of maternal or neonatal infection, may "trap" baby in a bad position, may cause cervix to swell, and possible fetal injury. May increase discomfort. Evidence shows no shortening of length of first stage of labor.
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What is AROM?
Q.
This can be uncomfortable and increase the risk of infection with the possibility of breaking the bag of waters (1 in 10 chance which can lead to a formal medicated induction).
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What is sweeping/stripping the membranes?
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Category 3
Q.
Doing this in low-risk birthers at 40 to 41 weeks gestation safely decreases the rate of postdate inductions. And can reduce the change of needing a formal medicated induction.
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What is sweeping/stripping the membranes?
Q.
This method avoids chemicals and artificial hormones to augment labor. May also shorten labor by an hour. And allows fluid to be examined for the presence of meconium, which may be a sign of fetal distress.
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What is AROM?
Q.
In comparison to other methods, this can be easily regulated and can allow the birther to be mobile to the extent of the restrictions from the required usages of an IV and continuous fetal monitoring. Dosage of this can be carefully monitored and increased, decreased or stopped at any time. Evidence support to discontinue this in active phase of labor to decrease asso. risk factors.
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What is pitocin?
Q.
Usually effective at ripening the cervix and may cause the start of labor; considered less invasive than other methods. When bishop score is less than 6, it is recommended that this method be used first prior to other methods.
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What is cervical ripening?
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Category 4
Q.
Eating 6 dates a day starting at 36 weeks found more dilation prior to arriving at the hospital.
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What is a method to cervical ripening?
Q.
Breast and nipple stimulation through hand expression or using the breast pump.
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What is a method of augmentation?
Q.
3 ways to affect labor induction: prostagladins in semen, orgasm to stimulate uterus activity, and natural increase of oxytocin from this activity.
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What is sex?
Q.
This may also shorten the second stage of labor and reduce the use of augmentation with pitocin.
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What is upright birthing positions?
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