HOW TO APPLY INDUCED LABOR?

The most used method for induction in normal delivery is the oxytocin method. Oxytocin is normally a hormone secreted in the brain of the female body and provides uterine contractions. It is the oxytocin hormone secreted from the pituitary region in the brain that causes the uterus contractions and progression of the mother in non-artificial births.
How is oxytocin administered for induced labor?
The most common form of use is to enter the serum and give it as an intravenous infusion through a vascular access in the mother's arm. The rate of progression of serum is important when administering oxytocin, this speed is adjusted with small apparatus in the serum set or electronic pump tools and applied to a certain amount of oxytocin per minute. In some cases, it can be applied from the very beginning of birth, and in some cases it can be applied at any stage of birth. It may not always last until the end of the birth and the serum is stopped according to changes in the baby's heartbeat or when the mother's uterine contractions are high.
Are there more birth pains with induced labor?
This is a concept that can change according to the pain perception threshold of every expectant mother. While some mothers do not feel much pain even if they take artificial pain, some mothers may feel more pain or vice versa. The oxytocin drug given by artificial pain is the same oxytocin hormone produced in the mother's own body. If epidural anesthesia is applied, the mother does not feel birth pain, whether or not she has artificial pain.
Other birth induction methods:
Apart from oxytocin, there are some rarely used methods to stimulate uterine contractions and to soften, thin and open the cervix. These:
- Amniotomy: Opening the baby's water bladder. It is a widely used method for the acceleration of birth.
- Membrane stripping: Finger peeling of the membranes in the cervix is ​​also a common method.
- Prostaglandin E1 (misoprostol) and E2 (dinoprostone): These are the most frequently applied drugs after oxytocin today. They are applied orally or by putting them in the vagina. Available in tablet, gel or ovule forms.
Things to consider before starting induced labor:
Induced labor is not a method that can be applied for every birth. The suitability of the mother and baby for various factors should be evaluated in terms of suitability for induction and presence of need. These:
- Fetal well-being: NST, ultrasonography, doppler, biophysical profile are used to evaluate the baby's well-being and heartbeat, and evaluate whether the condition of the baby is suitable for induced labor.
- Conditions such as uterine surgery that the mother had previously may prevent her from taking artificial pain. Induced labor is not applied to those who had previous cesarean delivery.
- Uterine contractions of the mother, that is, contractions, are measured with probes started on the abdomen with a cardiotocograph device, and if the mother's own contractions and pains are sufficient, induced labor is not applied additionally.
- If the condition of the cervix, that is, the cervix, is not suitable for the application of artificial pain, artificial pain is not started. First of all, other methods can be applied to adapt the cervix. If the Bishop score is 4 or below, artificial pain often fails.
- Gestational week is early for birth and the baby has enough lung development etc. If it is thought that it has not reached, induced labor is not applied. However, it can be applied in some situations that necessarily require birth.


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