Title: Labour Augmentation: What Does It Mean?
1(No Transcript)
2Labour Augmentation What Does It
Mean? Sometimes, mommy, you may start feeling
the contractions and rush to the hospital
thinking you are about to give birth. However,
for some reason, your contractions slow down or
get stalled, or your cervix stops expanding. In
such a situation, your doctor will recommend
augmentation of labour. How is it different
from induced labour? Induced labour and labour
augmentation are performed at different stages.
While induced labour is stimulation of the uterus
to begin contractions, augmentation of labour is
stimulation of the uterus during the labour to
increase the contractions frequency, duration,
or strength. The latter is performed when your
labour has already started but is not
progressing, or the contractions are weak.
3- When will you need labour augmentation?
- Expectant moms may require an intervention to
jumpstart their labour due to many reasons,
including but not limited to - The cervix not dilating
- Weakened contractions due to epidural
- Irregular or far apart contractions
- Baby not moving along even after pushing for
hours - How is labour augmentation done?
- Based on where you are in your pregnancy, the
doctor may opt for a medical procedure to break
your water or administer medication to further
the labour. Sometimes, they may use both these
methods together. To rule out the chances of it
being false labour, your doctor may wait and
monitor your progress closely. They may even ask
you to walk or do some breathing exercises to
efface your cervix.
4- If your labour is still progressing too slowly or
not progressing at all, then your doctor may try
any of the following methods - Stimulating your nipples By rubbing or pressing
down on your nipples, your body releases oxytocin
hormone, which helps kickstart your contractions. - Administering oxytocin If the above method
doesnt work for you, the medical practitioner
may prescribe an IV of synthetic oxytocin. This
will help the uterine contractions to become
stronger and more regular. - Rupturing your membranes Although it sounds
scary, it just means that the doctor will
puncture a hole in your amniotic sac. Its
performed in a situation where you are already in
an active state of labour, but your cervix is
dilating too sluggishly, i.e., less than 1 to 1.2
cm per hour. It can also be done if your baby is
moving too slowly down the birthing canal. - These methods, however, are not recommended if
you have had a previous C-section delivery, other
uterine surgeries or scarring or if your baby is
in a breech position.
5- In these circumstances, you may opt for more
natural ways of labour augmentation like - Walking around, squatting, standing or changing
positions to facilitate labour - Emptying the contents of your bowel or bladder as
they can hinder your babys descent into the
birthing canal - Trying relaxation techniques including massages
or yoga - Are there any risks of labour augmentation?
- There are a few risks associated with the
augmentation of labour, such as - Synthetic oxytocin can lead to excessive or
irregular contractions, which may adversely
affect your babys heart rate or even lower the
blood supply to him/her. - Rupturing of membranes too early in labour can
also lead to infections.
6- It can cause umbilical cord prolapse, where the
cord drops into the cervix before the baby. This
can lead to the babys oxygen supply being cut
off and would require an emergency C-section
surgery. - These are worst-case-scenarios which you dont
have to worry about. If the labour still doesnt
progress after augmentation, then your doctor may
use forceps or vacuum to extract your baby or opt
for a C-section delivery. - Whichever way it is, your doctor will do their
best to bring your little one into this world
healthy and safely.
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augmentation-what-does-it-mean/