11/20/2023 0 Comments Precipitate labour causesThe goal of the present guideline is to consolidate the guidance for effective interventions that are needed to reduce the global burden of prolonged labour and its consequences. In this regard, the World Health Organization (WHO) published recommendations for induction of labour in 2011. Optimizing outcomes for women in labour at the global level requires evidence-based guidance of health workers to improve care through appropriate patient selection and use of effective interventions. ![]() Besides, unnecessary clinical intervention in the natural birth process undermines women's autonomy and dignity as recipients of care and may negatively impact their childbirth experience. While interventions within the context of augmentation of labour may be beneficial, their inappropriate use can cause harm. ![]() Over the last few decades, efforts to avoid prolonged labour in institutional birth have led to the use of a range of practices to either accelerate slow labour or drive the physiological process of normally progressing labour. The traditional methods of labour augmentation have been with the use of intravenous oxytocin infusion and artificial rupture of the membranes (amniotomy). It has commonly been used to treat delayed labour when poor uterine contractions are assessed to be the underlying cause. There is growing concern that caesarean section is performed too soon in many cases, without exploring less invasive interventions that could lead to vaginal birth.Īugmentation of labour is the process of stimulating the uterus to increase the frequency, duration and intensity of contractions after the onset of spontaneous labour. ![]() Thus, “failure of labour to progress” has become one of the leading indications for primary caesarean section, particularly in first-time mothers. Identifying the exact cause of slowly progressing labour in clinical practice can be challenging. Common underlying causes include inefficient uterine contractions, abnormal fetal presentation or position, inadequate bony pelvis or soft tissue abnormalities of the mother. Prolonged labour is an important cause of maternal and perinatal mortality and morbidity.
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