augmentation/amniotomy/amnioinfusion

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9 Terms

1
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augmentation

stimulation of hypotonic contractions once labor has spontaneously begun, but progress is inadequate

2
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risk factors/action of augmentation

same as induction

3
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amniotomy

artificial rupture of membranes with amnihook

4
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indications of amniotomy

labor usually begins within 12 hours and can decrease duration of labor by 2 hours

can be used for induction of augmentation

can be done so amnioinfusion can be started

5
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risks of amniotomy

cord prolapse or infection

6
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interventions of amniotomy

document time, color, and amount of fluid

7
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amnioinfusion

infusion of normal saline or LR into amniotic cavity through IUPC

8
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indications of amnioinfusion

oligohydramnios

PROM

uteroplacental insufficiency

meconium-stained fluid

fetal cord compression- variable decelerations (LGA, macrosomia)

9
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interventions of amnioinfusion

fluid through warmer (blood warmer)

monitor exact fluid I/O to prevent uterine overdistension

labor interventions