Induction of patrimonial activity

Description:

Induction of childbirth this artificial initiation of the beginning of patrimonial activity, both at full-term, and at premature and postmature pregnancy. Respectively, the induced childbirth can be premature, timely and overdue.
Indications for induction of patrimonial activity are:

    * The postmature pregnancy or pregnancy tending to postmaturity (over 41 week).
    * The complicated pregnancy demanding deliveries (gestoses).
    * Extragenital diseases (diseases of kidneys, a diabetes mellitus, a cardiovascular, serious illness of lungs, gestational or chronic hypertensia) at which prolongation of pregnancy will result in perinatal and maternal incidence and mortality.
    * Premature izlity amniotic waters.
    * Sufferings of a pre-natal fruit (a considerable delay of pre-natal fetation, the guarding data on a condition of a fruit on KTG) can serve as indications to induction of patrimonial activity.
    * Anti-phospholipidic syndrome.
    * The suspected or established diagnosis horionamnionit.
    * Death of a pre-natal fruit. Anencephalia and other anomalies of development, incompatible with life.
    * Rhesus factor-conflict pregnancy.
    * Other, more rare reasons.


Contraindications: contraindications for induction of childbirth are the same, as for vulval delivery. Cicatricial deformations of patrimonial ways, placental presentation, the cross provision of a fruit, etc. can be examples.
Conditions: before induction have to be accurately defined and analyzed:

    * Indications and contraindications.
    * Duration of gestation.
    * A maturity of a neck of uterus (assessment on Bishop's scale).
    * Sizes of a basin and sizes of a fruit. The prelying part of a fruit.
    * Integrity of fetal membranes (intact or opened).
    * Condition of a pre-natal fruit, to data of tool methods of a research.

Indispensable condition is the written consent of the patient to induction of childbirth. Moreover, the reasons of induction of childbirth and possible complications of the carried-out procedure have to be well explained to the patient.