/
Induced labour drugs Done Induced labour drugs Done

Induced labour drugs Done - PowerPoint Presentation

magdactio
magdactio . @magdactio
Follow
343 views
Uploaded On 2020-08-27

Induced labour drugs Done - PPT Presentation

by Marwa Alhazeen Khadeeja A bu Hwichel Sara Kouta Ekhlas Abu Safia Nuha Abu Khater Yasmeen Abu Issa Safaa Zino Noor Alnono Labour child birth the process of delivering a baby the placenta membranes and umbilical cord from the uterus to vagina to ID: 805510

pain labour baby stage labour pain stage baby speed cervix delivery placenta relief dose relieve hyoscine effects side uterine

Share:

Link:

Embed:

Download Presentation from below link

Download The PPT/PDF document "Induced labour drugs Done" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.


Presentation Transcript

Slide1

Induced labour drugs

Done

by:

Marwa

Alhazeen

Khadeeja

A

bu

Hwichel

Sara

Kouta

Ekhla’s

Abu

Safia

Nuha

Abu

Khater

Yasmeen Abu

Issa

Safaa

Zino

Noor Alnono

Slide2

Labour: child birth, the process of delivering a baby, the placenta, membranes and umbilical cord from the uterus to vagina to the outside world.

Slide3

Labour done during three stages:1. stage one( called dilation)

the cervix dilates fully to a diameter of about 10cm.

2.Stage

two(called expulsion)

The baby moves out by uterus contractions through the cervix and vagina to be born.

3. Stage three: begins after a complete delivery of baby, and ends when the placenta and membranes are expelled.

Slide4

There are a wide range of reasons that a women may take medication during labour and birth:To induce labourTo speed up labourTo relieve pain during labour

To speed expulsion of the placenta

To halt

postpartum

haemorrhage

Slide5

Oxytoxic Drug: Oxytocin - Prostaglandin

Indecation

of using

oxytoxic

drug:

Premature rupture of membrane

Uteroplacental

insufficiency

Maternal diabetes

Preclampsia

and

clampsia

Post term pregnancy

IUGR

Fasting the slow

labour

تحفيز البدء بعملية الولادة لإمرأة لم تبدأ بالأعراض

Side effects

: uterine overstimulation- uterine rupture- fetal hypoxia- hypotension- water intoxication.

Slide6

Drugs that used during labour:

Prostaglandin (

Denoprostone

)

We give it in first stage of labour to

Dilation of cervix prior labour

Induce contractions and speed labour

Used specially in hypertensive or G.D.M

womens

Dose:

3ml

administerted as (suppository, vaginal, gel).

Slide7

Oxytocine ( pitocin, syntocinon)

We give it in second stage of labour to:

Induce and

speed up labour

Halt postpartum haemorrhage

Speed

expulsion

of the

placenta

DOSE:

Administer it by I.V infusion very slowly( about 8 drops per 1 minute), put

oxytocine in N/S or dextrose 5%.Antagonist:

Tractocile

Slide8

Cytotec(Misoprostol)Synthetic

prostaglandin, used in the second stage to:

Induce and speed labour

Halt postpartum

hemorrhage

May use it in gastrointestinal ulcers

Dose:

200mg

administered

as (vaginal,

rectal

suppository, sublingual tablet)The risk of uterine rupture increases with advantage gestational ages & with prior uterine surgery.

Slide9

Methergine Used

in third stage after complete delivery

because

it closes cervix

Uses:

to

prevent or control

postpartum

hemorrhage

To speed

expulsion

of the placentaDose: ,2 mg (IV

, IM, Orally)

Side effects:

hypertension, seizures, N&V, coronary artery vasoconstriction, pulmonary hypertension

Contraindication:

DVT, Asthma, HTN

, Cardiac

disease

.

Slide10

syntometrineBelongs to a group of

oxytocics

We give it immediately after delivery of baby or when see the

baby's

shoulder

(in

third

stage)

We use it to:

Help the delivery of placenta

Prevent or control bleeding after delivery. Dose: ,5-1 ml by

(IV or IM)

Side effects:

Hypertension, headache, rash, dizziness, chest pain.

Slide11

OxygenAdministrated through an oxygen mask to labouring moms, to help mother deliver oxygen to her baby.

Oxygen mask might be given quickly if baby's heart rate is dropping due to fetal distress.

Slide12

There is a range of options for pain relief in labour including non medical techniques and medical pain relief options.1.Non medical techniques

:

help to reduce pain, reduce anxiety and help to better cope with labour, techniques such as:

exercise

gently and regularly during pregnancy, breathing techniques, warm shower, massage.

2. Medical pain relief options:

in

general there are two types of pain relief:

1

. Analgesics

: lessen pain without loss of feeling or muscle movement.

2.

Anesthetics: relieve pain by loss of sensation.

Pain relief medications can either be:

1. Systemic:

affect the entire body without loss of consciousness.

2. Regional:

affect a region of the body.

3. Local:

affect only small area of the body.

Pain management

Slide13

Options that may be used in delivery:

Epidural

block

: is the local

anesthesia

or analgesic used for vaginal birth and also for

caesarean

sections, pain medications are given through a tube placed in the space at the base of the spine.

Spinal block

: is a regional

anesthesia

used in CS only, pain medication are administered into the spinal fluid.General anaesthesia: mother is completely a sleep and doesn't have sensation or consciousness, used only in caesarean.

Slide14

Analgesics: drugs that relieve pain without loss of muscle function, such as:

Pethedine

Is a strong pain reliever (analgesics)

Used in labour to relieve pain and help in dilation of cervix prior to labour.

Give it as I.M or I.V slowly injections.

It can cause nausea, so we administer anti nausea

medication at

the same

time (

Pramine

)Other side effects:Respiratory depression for mom and baby.

Slide15

Hyoscine(

Scabotyl

)

Antispasm

, relieving spasm in the smooth muscles of gastrointestinal tract, biliary, urinary tract and female

genital organs.

Promethazine: (Phenergan)

Antihistamine and antiemetic.

Slide16

hyoscine &

phenergan

We use

hyoscine

and

phenergan

together in first stage to:

Soften and dilate the cervix

Shortens

the

duration of first stage (dilation of cervix)Decrease of labour pain. DOSE: Inject of 25mg of phenergan

I.M in dilatation 3-5cm.

Inject 20mg of

hyoscine

I.M in

dilatation 3-5cm.

Slide17

Dexamethasone(decort)

It

is a part of corticosteroids (anti inflammatory)

We may use it in case of allergy caused by

hyoscine

Use it in unexpected premature labour, to stimulation of

fetal

lung maturation (bronchodilator)

Decrease number of neonates with respiratory distress syndrome and improve survival in preterm delivered neonates.

Help in relieve pain during labour.