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augmentation
stimulation of hypotonic contractions once labor has spontaneously begun, but progress is inadequate
risk factors/action of augmentation
same as induction
amniotomy
artificial rupture of membranes with amnihook
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
risks of amniotomy
cord prolapse or infection
interventions of amniotomy
document time, color, and amount of fluid
amnioinfusion
infusion of normal saline or LR into amniotic cavity through IUPC
indications of amnioinfusion
oligohydramnios
PROM
uteroplacental insufficiency
meconium-stained fluid
fetal cord compression- variable decelerations (LGA, macrosomia)
interventions of amnioinfusion
fluid through warmer (blood warmer)
monitor exact fluid I/O to prevent uterine overdistension
labor interventions