augmentation/amniotomy/amnioinfusion

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