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Delivery is generally indicated in those with complications, regardless of how far along in pregnancy. [2] About 8% of term pregnancies are complicated by PROM while about 30% of preterm births are complicated by PROM. [2] [4] [6] Before 24 weeks PROM occurs in fewer than 1% of pregnancies. [2]
Misoprostol is a medication that can cause contractions for cervical effacement. When used with balloon catheters, vaginal delivery was more likely to occur within the next 24 hours after initiation. It is known as a type of prostaglandin and available worldwide. It can also be used for early termination of pregnancy. Dinoprostone [13] [23]
Incidence of preterm delivery is approximately 12%, and preterm births are a significant contributing cause of unplanned emergency delivery. [10] Pre-term labor is defined as occurring before 37 weeks, and risks for pre-term labor include pregnancy with multiple fetuses, prior history of premature labor, structural abnormalities of the cervix ...
External cephalic version (ECV) is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. It is a manual procedure that is recommended by national guidelines for breech presentation of a pregnancy with a single baby, in order to enable vaginal delivery.
The ACOG also note that contraindications for induced labour are the same as for spontaneous vaginal delivery, including vasa previa, complete placenta praevia, umbilical cord prolapse or active genital herpes simplex infection, in which cases a cesarean section is the safest delivery method.
The maneuvers are important because they help determine the position and lie of the fetus, which in conjunction with correct assessment of the shape of the maternal pelvis can indicate whether the delivery is going to be complicated, or whether a caesarean section is necessary.
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Amnioinfusion is a method in which isotonic fluid is instilled into the uterine cavity.. It was introduced in the 1960s as a means of terminating pregnancy and inducing labor in intrauterine death, but is currently used as a treatment in order to correct fetal heart rate changes caused by umbilical cord compression, indicated by variable decelerations seen on fetal heart rate monitoring.