NURS 461 Lecture Notes - Lecture 8: Uterine Rupture, Umbilical Cord Prolapse, Balloon Catheter
Document Summary
Not recommended: indicated induction: performed if continuing pregnancy could put mom or baby at risk. Ex: post term, hx of large babies, diabetic mother, complications, fetal demise, iugr (intrauterine growth restriction), rh problems, rupture of membranes w/o contractions. Augmentation: stimulating a labor that has started on its own. Risks of induction: increased rate of cesarean birth, neonatal mortality increased, increased cost. Internal/external version: forceps assisted birth, vacuum assisted birth. Induction: artificial stimulation of labor before a spontaneous onset: preterm, fetal malposition, active genital herpes, placenta previa, placental abruption. Poor results for assessment of fetal well-being. Fetus should be at term or lung maturity established (ls ratio) Cervix should be favorable ( ripe") soft and supple, not firm: bishops score (pg 499). Cervical assessment is most important factor as to whether mother is ready to be induced. Other methods: castor oil- not very effective. No clinical effectiveness: blue cohosh- natural , not recommended.
