The use of internal tocodynamometry, compared with external tocodynamometry, with the aim of improving outcomes for augmented labour is not recommended. All rights reserved. Turn recording back on.
Amniotomy and Oxytocin for Augmentation of Labour - Full Text View - olmenjatufood.tk
National Center for Biotechnology Information , U. Geneva: World Health Organization; Show details Geneva: World Health Organization ; Search term. Executive summary.
Introduction Prolonged labour is an important cause of maternal and perinatal mortality and morbidity. Guideline development methods This guideline was developed in accordance with the procedures outlined in the WHO handbook for guideline development. Guiding principles The participants at the technical consultation agreed that the following overarching principles are applicable to all the recommendations in this guideline. Application of the recommendations should be based on consideration of the general condition of the woman and her baby, her wishes and preferences, and respect for her dignity and autonomy.
- Dreamseekers: Indonesian Women As Domestic Workers in Asia?
- WHO Recommendations for Augmentation of Labour..
- Labour Induction and Augmentation | HealthLink BC.
Augmentation of labour should be performed only when there is a clear medical indication and the expected benefits outweigh the potential harms. Women undergoing augmentation of labour, particularly with oxytocin, should not be left unattended. Augmentation of labour with oxytocin is appropriate and should only be performed after conducting clinical assessment to exclude cephalopelvic disproportion.
This principle is relevant for all women but is even more crucial for multiparous women. As the evidence for these recommendations was largely informed by studies conducted among women with pregnancies in cephalic presentation and unscarred uterus, they should not be applied to women with abnormal fetal presentation including breech or scarred uterus. Augmentation of labour should be performed with caution as the procedure carries the risk of uterine hyperstimulation, with the potential consequences of fetal distress and uterine rupture.
Wherever augmentation of labour is performed, facilities should be available to closely and regularly monitor fetal heart rate and uterine contraction pattern. Augmentation of labour should be carried out in facilities where there is capacity to manage its potential outcomes, including adverse effects and failure to achieve vaginal birth.
Summary list of WHO recommendations for augmentation of labour This table contains specific recommendations as formulated and approved by participants at the WHO technical consultation on augmentation of labour.
View in own window Context Recommendation Quality of evidence Strength of recommendation Diagnosis of delay in the first stage of labour Active phase partograph with a four-hour action line is recommended for monitoring the progress of labour. In this Page. Introduction Guideline development methods Guiding principles Summary list of WHO recommendations for augmentation of labour. Other titles in this collection.
Recent Activity. Clear Turn Off Turn On. You may be offered drugs or other methods to speed up your labour if you need it. Be sure to talk with your physician or midwife about the benefits and potential harms of what they recommend. Do not use misoprostol to induce labour after Caesarean. Percentage of pregnant people who attempt a vaginal birth after Caesarean and present with documented clinical indications for labour induction who receive labour induction. Denominator: number of pregnant people who attempt a vaginal birth after Caesarean and present with documented clinical indications for labour induction.
Percentage of pregnant people who attempt a vaginal birth after Caesarean and present with documented clinical indications for labour augmentation who receive labour augmentation. Denominator: Number of pregnant people who attempt a vaginal birth after Caesarean and present with documented clinical indications for labour augmentation.
- Looking for something specific?.
- Executive summary - WHO Recommendations for Augmentation of Labour - NCBI Bookshelf.
- The Husserlian Foundations of Science;
Starting contractions in a pregnant person who is not in labour to help achieve a vaginal birth within 24 to 48 hours. Stimulating the uterus to increase the frequency, duration, and intensity of contractions after spontaneous labour has started. Are you passionate about quality health care for all Ontarians?
You are here:
Stay in-the-know about our newest programs, reports and news. Let's make our health system healthier Open Menu. What is Health Quality Quality Is What This Quality Statement Means. Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Contacts and Locations.
Amniotomy and Oxytocin for Augmentation of Labour (AOAL)
More Information. Labor, prolonged labor, augmentation of labor.
National Library of Medicine U. National Institutes of Health U. Department of Health and Human Services. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Prolonged Labor. Phase 2. Study Type :. Actual Enrollment :.
Study Start Date :.
WHO recommendations for augmentation of labour
Actual Primary Completion Date :. Actual Study Completion Date :. Procedure: Amniotomy first rupture of membranes to augment labor. Procedure: Oxytocin first Administration of oxytocin to augment labor Drug: Oxytocin. Active Comparator: Amniotomy and oxytocin Amniotomy will be done as explained above and oxytocin the same regimen mentioned above at the same time. Procedure: Amniotomy and oxytocin Rupture of membranes and administration of oxytocin to augment labor Drug: Oxytocin.