What does it mean to induce labor? Under what circumstances need to induce labor? 6 points to keep in mind before surgery

Induction of labor is a medical term. It refers to a pregnant woman who is unable to continue her pregnancy for some reason and requires manual intervention to induce uterine contraction and expel the fetus from the body. According to the length of the pregnancy month at the time of labor induction, it can be divided into mid-term labor induction and late labor induction. The method of labor induction between 14 weeks and 28 weeks of pregnancy is called mid-term labor induction, and labor induction after 28 weeks of pregnancy is called late labor induction.

Applicable symptoms for induction of labor:

Pregnancy-induced hypertension : Severe hypertensive disorder of pregnancy, after conventional treatment effects If it is not obvious, or the condition deteriorates rapidly, labor induction should be taken as soon as possible. For mild and moderate hypertensive disorders of pregnancy, if the examination reveals that the fetus is mature, labor should be induced in time.

Premature rupture of membranes : Premature rupture of membranes is not uncommon in clinical practice. Premature rupture of membranes will lead to a significant increase in the rate of intrauterine infection during the perinatal period, and the chance of infection in the parturient is increased. 24 hours after the occurrence of premature rupture of membranes and the fetus has not yet been delivered, labor should be induced in time.

Poor fetal development environment: When fetal distress or delayed fetal development, oligohydramnios, fetal edema, etc., the fetus continues to grow in the uterus, it is not good for the growth of the fetus, so induction of labor should be taken in time.

infection: when a pregnant woman has chorionic membrane amnionitis, it is easy to cause infection of the fetus in the uterus, and labor should be induced in time.

In addition, too many months of pregnancy, fetal malformations, stillbirth, pregnant women suffering from severe chronic diseases and many other reasons need to induce labor.

Preoperative examination:

Chest X-ray examination, ECG, five hepatitis B examinations ( hepatitis B surface antigen (HBSAg), hepatitis B surface antibody (HBSAb) /Anti-HBs), e antigen (HBeAg), e antibody (HBeAb/anti-HBe), core antibody (HBcAb/anti-HBc)), AIDS antibody check, syphilis antibody check, hepatitis C virus antibody check , Coagulation function test, blood routine, urine routine, biochemical comprehensive examination, abdominal ultrasound examination. .

Preoperative preparation:

1. Preparation of gastrointestinal tract: fasting for 12 hours before operation and drinking water for 8 hours before operation;

2, indwelling Catheterization: Cooperate with physicians to place urinary catheters before surgery;

3. Prevent infection: use antibiotics prophylactically under the guidance of physicians;

4. Crossmatch: Cooperate with physicians for preoperative crossmatch and blood preparation. Prevention of hemorrhage during surgery;

5. Cervical maturity score: Before surgery, patients should understand the doctor’s cervical maturity score under the guidance of a physician: when the score is ≥7 points, it indicates cervical ripeness. The higher the score, the more mature, the easier it is to succeed in labor induction. If the score is less than 6 points, cervical ripening should be promoted and divided into drug-based methods and non-drug-based methods.

6. Doctor-patient communication: Patients and their families actively communicate with doctors, provide understanding and support, and actively cooperate with surgical treatment.

Precautions:

1. Women should be checked regularly after pregnancy. If there are factors that are not conducive to the growth of the fetus, reasonable treatment measures should be taken in time.

2. Medical staff should check carefully and check the expected date of delivery carefully to avoid unnecessary induction of labor.

3. Fetuses delivered by induction of labor have poor survival ability and should be hospitalized for observation in time.

Friendly reminder: The above content is for reference only. If drug-related information is mentioned, it must be used under the guidance of a professional doctor or pharmacist.