Induction of labour and artificial rupture of membranes

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Sarah Stewart

Gesundheit & Medizin Technologie

Definitions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.flickr.com/photos/23524220@N00/3419755539

Most women birth between 41 and 42 weeks gestation http://www.flickr.com/photos/48819968@N00/84515824

In Australia... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical guidelines recommend that women should be offered induction of labour between 41 and 42 weeks gestation NICE, 2008 http://www.flickr.com/photos/10249607@N04/3333062178

Expectant management ,[object Object],[object Object],[object Object],[object Object]

Clinical guidelines recommend surveillance after 42 weeks eg ultrasound scan and CTG, but no evidence to support efficacy of this http://www.flickr.com/photos/75062596@N00/903573472

Membrane sweep ,[object Object],[object Object],[object Object],[object Object]

Homoeopathy No evidence to support its use http://www.flickr.com/photos/22198928@N00/841883683

Not enough evidence to support acupuncture http://www.flickr.com/photos/51035747113@N01/10920514

Risks of induction of labour ,[object Object],[object Object],[object Object],[object Object],[object Object],http://farm6.static.flickr.com/5110/5619333529_4ff0fd7698.jpg

Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Induction of labour should not be started if Bishop Score is less than 6. A score of 8/9 indicates a “favourable” cervix

http://medchrome.com/major/gynaeobstr/bishop-score-and-modified-bishop-score/

Prostin ,[object Object],[object Object],[object Object],[object Object],[object Object]

Care of woman ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ARM ,[object Object],[object Object],[object Object],[object Object],http://www.flickr.com/photos/scratch/249557231/

Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.flickr.com/photos/97328945@N00/4106718

Care of the woman ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.flickr.com/photos/48819968@N00/64798520

Oxytocin ,[object Object],[object Object],http://www.flickr.com/photos/44124425616@N01/262522417

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.flickr.com/photos/40646519@N00/2318860224

Key points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

http://www.flickr.com/photos/32323502@N00/428401602 Sarah Stewart: [email_address] http://sarah-stewart.blogspot.com

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Induction of labour and artificial rupture of membranes

1. Induction of Labour...as a treatment for 'overdue' pregnancy Sarah Stewart 2011 http://www.flickr.com/photos/31929257@N00/2067613496

3. Most women birth between 41 and 42 weeks gestation http://www.flickr.com/photos/48819968@N00/84515824

5. Clinical guidelines recommend that women should be offered induction of labour between 41 and 42 weeks gestation NICE, 2008 http://www.flickr.com/photos/10249607@N04/3333062178

7. Clinical guidelines recommend surveillance after 42 weeks eg ultrasound scan and CTG, but no evidence to support efficacy of this http://www.flickr.com/photos/75062596@N00/903573472

9. Homoeopathy No evidence to support its use http://www.flickr.com/photos/22198928@N00/841883683

10. Not enough evidence to support acupuncture http://www.flickr.com/photos/51035747113@N01/10920514

11.

12.

13. Induction of labour should not be started if Bishop Score is less than 6. A score of 8/9 indicates a “favourable” cervix

14. http://medchrome.com/major/gynaeobstr/bishop-score-and-modified-bishop-score/

15.

16.

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22.

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24. http://www.flickr.com/photos/32323502@N00/428401602 Sarah Stewart: [email_address] http://sarah-stewart.blogspot.com

Induction of labour and artificial rupture of membranes

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