Induction Types of Moms Need to Know

EXCEPT medical induction can also be manipulative. As to whether the difference?
 Here's an explanation dr. Fakriantini Jayaputri Sp.OG of RSU Prikasih Fatmawati Jakarta, as reviewed Mom & Kiddie.
 Medically induced labor
 
-Infusion of Oxytocin

Mechanism of action of oxytocin is not known for sure, but this hormone will cause uterine smooth muscle contractions that are used in pharmacologic doses to induce labor. Before the baby is born in the birth process that arises spontaneously turns uterus is very sensitive to oxytocin. Once labor starts, the cervix will dilate so that initiate neural reflexes that stimulate the release of oxytocin and uterine contractions later.
 To produce the required effect on the uterus adequate doses. The dose is between 4 to 16 milliunits per minute. The dose for each person is different, but usually starts with a low dose while looking at the progress of labor and uterine contractions.
 To be successful infusion of oxytocin in inducing labor and gave no complications either on earth or fetus, then the necessary requirements such as full-term pregnancy, the size of a normal pelvis, no CPD, and the cervix is ​​ripe.
 -Prostaglandins
 Giving prostaladin otok can stimulate smooth muscle as well as the muscles of the uterus. The use of prostaglandin induction of labor as may be in the form of an intravenous infusion (nalador) and vaginal (vaginal prostaglandin suppository).
 In full-term pregnancy, induction of labor with prostagladin effective enough to shorten labor, reduce the number of cesarean and lower the score less than 4.
 Hypertonic Fluids Intra-uteri
 Intramnnion hypertonic fluids used to stimulate uterine contractions in pregnancy with a dead fetus. Hypertonic fluids can be used hypertonic saline 20, urea and others. Sometimes the use of urea mixed with prostaglandin stimulation to strengthen the muscles of the uterus. However, this can cause quite a dangerous disease, such as hypernatremia, infection and blood clotting disorders.
 Induction of Labor In manipulative
 -Amniotomy
 Artifisialisis amniotomy is done by solving both the amniotic bottom front (fore water) or rear (hind water) with a special tool or a catheter that is drewsmith omnihook often combined with oxytocin.
 Some theories suggest that amniotomy uterus can reduce the burden by 40 percent so that power can be more powerful uterine contractions to open the cervix. There is also a saying amniotomy reduces blood flow in the uterus about 40 minutes after amniotomy is done, so that reduced oxygenation of the muscles of the uterus and this situation increases the sensitivity of the uterine muscle.
 In addition, others say amniotomy head can cause cervical directly hit a wall in which there are many nerves that stimulate uterine contractions.
 If after amniotomy done 6 hours later, no sign of the beginning of labor, it should be followed in other ways to stimulate labor, for example, with an infusion of oxytocin.
 It should be noted, in the amniotomy can cause intrauterine infection, funikuli prolapse, fetal distress and signs solutio placenta when the fetal very much excluded.
 -Use of Foley Catheter
 Foley Catheter is used to ripen the cervix and induce labor. Contraindications happens if there is a history of bleeding, rupture of membranes, fetal growth stunted and vaginal infections.
 -Use Electrical Stimulation
 Induced by electrical stimulation with two electrodes placed in the cervix and placed in the abdominal wall. Then the electricity supplied to provide stimulation of the cervix, causing uterine contractions.
 Stimulation Nipple-Milk (Breast Stimulation).
 Nipple stimulation can influence the posterior pituitary to secrete oksitosis, which can cause uterine contractions. Stimuli to do is to do a light massage with the thumb in the mammary areola on one nipple.
 To avoid blisters can use oil or baby oil. This light massage to do a half hour to an hour, do a maximum of 3 hours a day. Not recommended to perform massages on both breasts at the same time, because of feared excessive stimulation.
Sources: http://health.okezone.com/read/2013/03/03/483/770260/