Tuesday, May 5, 2020

Midwifery Essay for Initiate or Continue Labour - myassignmenthelp

Question: Write about theMidwifery Essay for Initiate or Continue Labour. Answer: Syntocinon contains naturally occurring hormone called oxytocin that works in the same way as the natural hormone to stimulate labour. This synthetic hormone helps to initiate or continue labour, relieve pain and control bleeding during the onset of delivery. When contractions are too weak, syntocinon is induced containing oxytocin to induce labour or in cases where labour does not start naturally (Erickson, Lee Emeis, 2017). This medicine has many benefits as it strengthens the uterine contractions to push the baby out of the body during labour and birth. To shorten the length of labour, oxytocin is induced that increases contractions during labour and birth. Induced labour takes a lot of time to establish and is intense as compared to spontaneous labour. It is painful and therefore, to relieve pain, oxytocin is induced that shorten the length of labour by increasing contractions. This reduction of labour is priority of intrapartum care from the mother and foetal well-being. For th is, oxytocin in the form of syntocinon helps to shorten the pain exposure, stress, anxiety that improves the health and well-being of mother and satisfaction with childbirth. This also accelerates the progression of labour with better care and management of labour during birth and augmentation. The labour is at ease due to induction by oxytocin and the medicine can be controlled as per the patient requirement and time of delivery (Iravani et al., 2015). Oxytocin is also used for the delivery of placenta. Postpartum hemorrhage is a major cause for maternal mortality and morbidity. It is caused due to uterine atony occurring during immediate postpartum period. For the physiologic management of this condition, uterotonic medication like oxytocin is given to decrease the postpartum hemorrhage risk and maternal blood loss. This also reduces the increased risk for retained placenta and chances of maternal, side effects. In cases where augmentation is required as the membrane is broken and the contractions does not initiate. It is also beneficial in cases where there is slowing down of epidural, in turn slowing down labour process and therefore oxytocin is required for induction and in resuming the contractions. In addition, when this hormonal drug is given to the mother, it helps in the removal of placenta after the birth (Westhoff, Cotter Tolosa, 2013). This drug is used to start labour and after the body starts the normal contractions, the effect of the drug is slowly removed. Therefore, it is the best possible way to induce labour, reduce labour period and save lot of agony. Infection can also be prevented when labour is induced by oxytocin like Chorioamnionitis that is bacterial in nature infecting the amnion, chorion and amniotic fluid. Apart from initiation of labour pain, it also saves from blood loss during childbirth and in cases of uterine contractions absence during birth and labour. During augmentation of labour, oxytocin is used that induces uterine contractions and results in a good labour pattern and it is maintained at the same rate until delivery. Therefore, the above discussion illustrates that oxytocin is a valuable drug that assist in the uterine contractions that induces labour, accelerate it and helps to stop bleeding after delivery (Boie et al., 2016). References Boie, S., Velu, A. V., Glavind, J., Mol, B. W. J., Uldbjerg, N., de Graaf, I., ... Bakker, J. J. (2016). Discontinuation of intravenous oxytocin in the active phase of induced labour. The Cochrane Library. Erickson, E. N., Lee, C. S., Emeis, C. L. (2017). Role of Prophylactic Oxytocin in the Third Stage of Labor: Physiologic Versus Pharmacologically Influenced Labor and Birth. Journal of Midwifery Womens Health. Iravani, M., Janghorbani, M., Zarean, E., Bahrami, M. (2015). An overview of systematic reviews of normal labor and delivery management. Iranian journal of nursing and midwifery research, 20(3), 293. Westhoff, G., Cotter, A. M., Tolosa, J. E. (2013). Prophylactic oxytocin for the third stage of labour to prevent postpartum haemorrhage. The Cochrane Library.

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