MS was the first child of Mr and Mrs S. Mrs S was admitted
for induction of labour for reduced fetal movements, in November 2010.
Read more about the use of acupuncture
for the induction of labour here.
We excluded women who required oxytocin
for induction of labour after the 2:1 matching with our study group, because we learned during the study that the policy with respect to the use of oxytocin
for induction of labour was outside the scope of practice for midwives and family physicians in some hospitals.
For example recent research by the American College of Obstetrics & Gynecology has shown the use of oxytocin,
for induction of labour or to «speed up» labour, is an independent risk to babies and increases NICU admission.
Not exact matches
The researchers concluded that date fruit consumption «in the last 4 weeks before
labour significantly reduced the need
for induction and augmentation
of labour, and produced a more favourable, but non-significant, delivery outcome.
Only 28 %
of the women in the date eating group needed prostin / oxytocin (
for inducing / augmenting
labour), which was significantly lower than the 47 % who needed
induction in the control group (p = 0.036).
Kavanagh J, Kelly AJ, Thomas J. Breast stimulation
for cervical ripening and
induction of labour.
*
induction of labour (starting your
labour artificially) * augmentation
of labour (speeding up your
labour) * artificial rupture
of the membranes (ARM) * using medication
for pain relief * electronic fetal monitoring — external CTG or internal fetal scalp * managed third stage
of labour (delivering the placenta) * coached pushing * restricted birthing positions * immediate cord clamping * seperation
of mother and baby in surgery / recovery
The proportion
of women with a «normal birth» (birth without
induction of labour, epidural or spinal analgesia, general anaesthesia, forceps or ventouse delivery, caesarean section, or episiotomy9 10) varied from 58 %
for planned obstetric unit births to 76 % in alongside midwifery units, 83 % in freestanding midwifery units, and 88 %
for planned home births; the adjusted odds
of having a «normal birth» were significantly higher in all three non-obstetric unit settings (table 5 ⇓).
The National Institute
for Health and Care Excellence (NICE) in the UK recommends that
induction of labour has a large impact on the health
of women and their babies, and so needs to be clearly clinically justified.
Induction of Labour: * higher rates of Caesarean Section * increased risk of your baby being admitted to NICU (neonatal intensive care unit) * increased risk of forceps or vacuum (assisted delivery) * contractions may be stronger than a spontaneous labour * your labour is no longer considered «low risk» — less choices in where and how you birth, restricted birth positions, continuous monitoring CTG, time limits for which to labo
Labour: * higher rates
of Caesarean Section * increased risk
of your baby being admitted to NICU (neonatal intensive care unit) * increased risk
of forceps or vacuum (assisted delivery) * contractions may be stronger than a spontaneous
labour * your labour is no longer considered «low risk» — less choices in where and how you birth, restricted birth positions, continuous monitoring CTG, time limits for which to labo
labour * your
labour is no longer considered «low risk» — less choices in where and how you birth, restricted birth positions, continuous monitoring CTG, time limits for which to labo
labour is no longer considered «low risk» — less choices in where and how you birth, restricted birth positions, continuous monitoring CTG, time limits
for which to
labourlabour in.
So quite possibly you forced your baby to stay in a suboptimal environment, rather than consider
induction of labour when your doctor first identified the need
for intervention.
Of course, sometimes
induction or speeding along
labour is necessary
for mother or baby.
Other western practices that may contribute to PPH include the use
of oxytocin
for induction and augmentation (speeding up
labour) 28 29 episiotomy or perineal trauma, forceps delivery, caesarean and previous caesarean (because
of placental problems - see Hemminki30).
There were no differences between groups
for fetal loss equal to / after 24 weeks and neonatal death,
induction of labour, antenatal hospitalisation, antepartum haemorrhage, augmentation / artificial oxytocin during
labour, opiate analgesia, perineal laceration requiring suturing, postpartum haemorrhage, breastfeeding initiation, low birthweight infant, five - minute Apgar score less than or equal to seven, neonatal convulsions, admission
of infant to special care or neonatal intensive care unit (s) or in mean length
of neonatal hospital stay (days).
In a multivariate analysis controlling
for maternal age, lone parent status, income quintile, parity or use
of any substances (illicit drugs, alcohol or tobacco), women who intended to have home births were significantly less likely to be exposed to
induction or augmentation
of labour, epidural analgesia, episiotomy or cesarean section (Table 3).
A Cochrane review comparing
induction of labour before 40 weeks
for a suspected big baby with waiting
for spontaneous
labour, found that
induction decreased the incidence
of shoulder dystocia from 6.8 % to 4.1 %.
Category: 8th amendment, Advocating
for yourself in the maternity services, Articles, Care Options,
Induction, Information, Interventions,
Labour, Pregnancy Tags: coercion, disregard
of consent, informed choice, informed consent, informed decision making, informed refusal, self - advocacy
For a number
of outcomes (
induction of labour, augmentation, opiate analgesia, caesarean birth), the point estimate was less than 1 and the upper limit
of the 95 % confidence interval just exceeded 1.
Comparison 1 Midwife - led versus other models
of care
for childbearing women and their infants (all), Outcome 10
Induction of labour.
The I2 value was greater than 50 %
for 10 outcomes (antenatal hospitalisation, amniotomy, augmentation, opiate analgesia, attendance at birth by known carer, intact perineum, perineum requiring suturing, duration
of postnatal hospital stay, duration
of neonatal stay, breastfeeding initiation, and greater than 30 %
for a further six (antepartum haemorrhage,
induction of labour, episiotomy, five - minute Apgar score less than seven, preterm birth, admission to neonatal care).
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PTB can occur
for a variety
of reasons, which may be broadly classified as either medically indicated (
induction of labour or planned caesarean section) or spontaneous (spontaneous onset, or premature rupture
of membranes).