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Monday, October 18, 2010

Acceleration and induction of labor

Obstetric practice today apply several methods to speed up and when required for induce labor. All are safe for mother and baby.
How specifically can cause birth?
Birth can be caused by complex procedure, in the case of using all or some of them. The elements are:
  • ·         Mechanical enlargement of cervical
  • ·         Detachment of the lower pole of the membranes;
  • ·         Use of oxytocin on uterine contractions
  • ·         Artificial pop of membranes
  • ·         Application of drugs that reduce pain (analgesic) and antispasmodics
  • ·         Funds that help the expansion of the uterine cervix. The latest use prostaglandins.
What are prostaglandins?
Prostaglandins affect the maturity of the cervix, causing uterine contractions and reduce the time of birth. Form of vaginal tablets or gel is applied cervical or to the vaginal vault in the back once or at regular intervals. The manner of their application depends on the status of women, primarily from the so-called pelvic score. This is a set of indicators determining the maturity of the cervix. It is very important for the doctor to properly assess the impact of prostaglandins on the onset of labor and a further move, because they have side effects - may create hypertonic of the uterus, often after contractions which lead to suffering of the fetus. The indications for the use of prostaglandins should be reasonably extended, as the favorable impact has been demonstrated.
Are there cases where it is required to proceed with the induction of labor?
There are medical indications for labor induction, for example, if there is evidence that the fetus suffers; the status of women does not allow her to carry her pregnancy (worsening of heart function, diabetes, hypertension). In all these and other conditions, birth generally should be done before the scheduled term.
The term could be precisely defined by an experienced specialist using modern ultrasound and it could pass and the baby is still in the womb. If the delay is 2-3 days, do not worry. It is required to visit your doctor for examination.

Why there is a danger?
The placenta is the first children's kitchen. That is how the fetus derived from the mother's body everything needed for normal development.  In case of delay in delivery, the placenta changes and that can seriously disrupt the baby and make him/her suffer.  It is true that knowing nature has provided mechanisms through which for a short period the baby is able to adapt to the adverse conditions in the womb. These mechanisms, however, could work only for a specified time.
How to avoid the risk?
The most favorable is the labor to begin and proceed in the 40 th weeks of gestation. If this does not happen spontaneously, the process can be caused by so-called, induction. To induce birth, the mother must be received in the maternity hospital. Approximately 17% of women end up by inducing labor. Before proceeding to the induction process, the OB makes vaginal examination to assess the readiness of the cervix birth, fetal ultrasound monitor and track children's heart tones. There are some absolute contraindications for induction: total placental, mismatch between the size of the pelvis of the mother and size of the fetus and lateral placement of the fetus.
Why induction?
Induction aims baby to be born in time to avoid the risks associated with particular adverse conditions in the womb. The method can be applied not only during transmission but also in pre-eclampsia and eclampsia, diabetes in pregnant, Rh-incompatibility, prematurely fractured membranes, changes in amniotic waters, early partial detachment of the placenta and others.
How to induce labor?
 Induction takes place after making the necessary research and choosing the most appropriate drug or drug combination. In this method, membranes are opened, which is absolutely painless manipulation. To prepare the cervix and uterus for delivery is using medicated gel, vaginal suppositories or tablets.  The condition of the fetus and uterine activity is continuously monitored.  The induction of labor can be combined simultaneously or sequentially with several methods.  Induction is successful, when leading to maternal activity and birth.  Although very rare, sometimes despite the efforts of the team attempts, induction process does not lead to success.  In this case if there is no risk for the baby, mother could be left to rest and again apply induction.  Where it is found that the condition of the fetus deteriorated sharply, caesarean section is performed.
If you are not agree with having an induction.
 If you do not want to have induction, physicians will comply with your desire. However, when having problem with the pregnancy or the fetus is suffering and cannot wait for the process to begin spontaneously, experts will insist on your consent and assistance.  It is important to have confidence of professionals in the delivery room. Believe that everything they do is for the sake of your health and your baby.
When you enter in the third quarter of pregnancy, your desire to birth the baby can become extremely intense. Sometimes even in the 40th week of pregnancy is still no sign of the beginning of labor. If you want to avoid medical induced birth, there are several methods you could try at home.  Although there are many natural ways to induce labor, none has proven fully effective. However, if you are at the end of your pregnancy, maybe you're ready to try anything to start the labor. Inducing labor is practiced by women for many years. Most of the proposed methods are effective simply because the body is ready for it.
Movement
Walks are an easy way to stir the amniotic fluid with a little more luck and induce labor. Although movement may not cause birth, it stimulates the baby to take the correct starting position. Walking and movement as a whole, help some women cope with their contractions during the actual birth.
Sex
Has been shown that sexual intercourse in the third trimester of pregnancy to some extent can act to induce childbirth. Stimulation of birth using this natural method is not always convenient, but worth trying. Prostaglandins in semen may stimulate contractions. The same is obtained in achieving orgasm.
Stimulating the nipples
When woman stimulate their nipples is released oxytocin. When birth is caused by medical means, the pregnant woman is given artificial oxytocin. Oxytocin is the hormone that stimulates contractions of the uterus. One potentially negative side effects of this method to naturally induce labor can lead to excessive, even hyper-stimulation of the uterus, so it requires immediate continuous monitoring by a specialist in order to ensure the safety of the baby.
Herbal medicines
Some midwives say blue or black kohosh  (Brassica oleracea var. gongylodes)
 are one of the effective natural remedies to induce labor. The truth is that kohosh can help you only if you are already in the early stages of the actual birth.
Castor Oil
Castor oil is a powerful laxative, which can stimulate contractions of the uterus. To cause birth you could take up to 115 grams castor oil.
Spicy food
Finally a good excuse to eat spicy food. This natural method to induce labor is more myth and mostly causes heartburn and no contractions.
Removal of membranes
Technically this is one of the most natural methods to induce birth, since it does not require taking any medication. The procedure is performed by the doctor or midwife. It consists of manually removing the membranes at the base of the uterus. The procedure is as unpleasant as her name sounds ready to experience a feeling similar to that in a painful examination of reproductive organs in the pelvis. Although the method is mildly attractive, it is proven that he has little positive effect on the induction of labor. Of course anyway baby will not remain forever in the womb. If none of these natural ways to induce birth does not work, your doctor will induce labor before the end of 42 weeks of pregnancy.

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