Women who planned a home birth had fewer episiotomies, pitocin
for labor augmentation, and epidurals.
Oxytocin regimen
for labor augmentation, labor progression, perinatal outcomes.
Not exact matches
Even though the ACOG practice bulletin notes that induction and
augmentation remains an option
for those undergoing a trial of
labor, many physicians refuse to include these in their personal practice guidelines.
And BTW when I practiced as a Doula, most O.b s were well aware of and approved nipple stimulation
for augmentation of a stalled
labor.
Obstetrical procedures were more common among women who had planned in - hospital births than among women who delivered out of the hospital (30.4 % vs. 1.5 %
for induction of
labor and 26.4 % vs. 1.1 %
for augmentation of
labor, P < 0.001
for both comparisons)(Table 3).
However, if the mom wasn't scheduled
for surgery or any
labor augmentation, she could still be pregnant nearly a month after her «due date,» which may have been what her boss was counting on.
A prospective study of the progress of
labor in 220 nulliparous women and 99 multiparous women who spontaneously entered
labor evaluated the benefit of prolonging oxytocin
augmentation for an additional 4 hours (
for a total of 8 hours) in patients who were dilated at least 3 cm and had unsatisfactory progress (either protraction or arrest) after an initial 4 - hour
augmentation period (21).
The use of oxytocin
for augmentation of contractions, separate from induction of
labor, during TOLAC has been examined in several studies.
Labor may not naturally accelerate on its own (active phase) until 5 cm of dilation and introducing interventions like oxytocin
augmentation or performing a cesarean
for failure to progress when the mother's or baby's condition is stable is not recommended.
A large multicenter study of women attempting TOLAC (n = 33,699) also showed that
augmentation or induction of
labor was associated with an increased risk of uterine rupture when compared with spontaneous
labor (1.4 %
for induction with prostaglandins with or without oxytocin, 1.1 %
for oxytocin alone, 0.9 %
for augmented
labor, and 0.4 %
for spontaneous
labor).
Planned out - of - hospital birth also had a statistically significant association with higher rates
for 5 - minute Apgar scores of less than 7, neonatal seizures, neonatal ventilator support, maternal blood transfusion, and unassisted vaginal delivery but with lower rates of both admission to neonatal intensive care units and obstetrical interventions, including induction and
augmentation of
labor, operative vaginal delivery, cesarean delivery, and severe perineal lacerations.
When you have a doula present, the studies show that your need
for augmentation of
labor goes down 31 %.