NURSING 265 Lecture Notes - Lecture 19: Balloon Catheter, Misoprostol, Artificial Rupture Of Membranes
Document Summary
Cervical ripening by various methods increases cervical readiness for labor through promotion of cervical softening, dilation, and effacement. Nursing actions: administer subcutaneous injection of terbutaline (brethine). 1) mechanical and physical methods: a)balloon catheter, b) membrane stripping and an amniotomy, c) hygroscopic dilators and sponges (laminaria, lamicel). 2) chemical agents based on prostaglandins, can be orally or vaginally: such as. Misoprostol (cytotec) prostaglandin e1, and dinoprostone (cervidil,prostaglandin e2). Induction of labor is the deliberate initiation of uterine contractions to stimulate labor before spontaneous onset to bring about the birth either by chemical or mechanical means. Methods:1) mechanical or chemical approaches, 2) administration of iv oxytocin (pitocin), 3) nipple stimulation to trigger the release of endogenous oxytocin. Indications: any condition in which augmentation or induction of labor is indicated. Elective induction for nonmedical indications must meet the criteria of at least 39 weeks of gestation and a bishop score of greater than.
