pregnancy, pregnant, pregnancy test, week of pregnancy, ultrasound during pregnancy, signs of pregnancy, trimester of pregnancy, screening during pregnancy, correct pregnancy, breast during pregnancy, folic acid during pregnancy, early pregnancy, nausea during pregnancy, first pregnancy, hemoglobin during pregnancy , toxicosis of pregnancy, iron during pregnancy, magnesium during pregnancy, ectopic pregnancy, thrush during pregnancy, nipples during pregnancy
The inducing labor
The advantages and disadvantages of childbirth triggered
Advantages and Disadvantages for the mother:
Advantages:
- The advantages lie mainly in the aspect of organized labor.
Make an appointment for delivery ensures the presence of the father, can be well organized to keep seniors.
- This also will be sure to be given birth by her obstetrician or the midwife, and thus maintain some continuity between the monitoring of pregnancy and birth, especially when the trust was established!
- The trigger also ensures the availability of the anesthesiologist for placing the epidural.
Disadvantages:
- The disadvantages are physiological contractions are more intense, and you find yourself more easily in a state of hypotension.
- Childbirth is generally longer, so we left the labor room: fatigue!
- It may finally be shocked by the hyper-medicalization, and the instrumental use is more common.
What is the technique?
If the cervix is not mature for delivery, the doctor will apply a prostaglandin gel to accelerate ripening.
This first period is long enough, because the monitoring of the development of cervical takes its value in intervals of 4 to 6 hours.
However, you stay mobile and free to move.
Then, after the catheterization, you intravenously inject an oxytocic product that will trigger the contractions.
This injection is a gradual, staged about 45 minutes, until a regular contractility.
Parallel to the drug therapy, the obstetric team will monitor both the heartbeat of your small (FHR: fetal heart rate), and the rate of uterine contractions.
From this step, you will be installed on the delivery bed, and your movements will be quite limited.
At the same time, we will ask you the epidural.
Gradually increasing doses of oxytocin, can accelerate the pace of contraction gradually, until the expulsion, which happens so very normal.
Medicolegal implications
The indication for medical induction of labor is suggested by the obstetrician.
By cons, never an obstetrician will offer delivery of convenience is on your own initiative, and on medical advice following your request, that decision will be made.
- Ethically: the physician must have your "informed consent".
Informed consent implies that you have fully understood and accepted medical procedure.
- It is the responsibility of the physician who is involved in the decision of the trigger.
- The monitoring trigger is provided jointly by the doctor and the midwife.
- The physician must re-evaluate all the circumstances at the time of execution on the possibilities of an outbreak.
- The doctor who made the decision of the trigger must be present during the course, or at least, it should come out about the evolution of childbirth.