Is Elective Inductions Prior?

There are many factors involved in an induction session which include aspects such as belief, relaxation, compliance, imagination and selective attention. In order to be able to demonstrate whether personalising an induction is always more effective I will need to discuss the different types of modalities, induction styles and the methods used in which to tailor a screed to meet the particular needs of the client.

Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).

The writer explained there could be no concern for fetal or maternal health during the delivery although some obstetricians tended to induce labor in all diabetic mothers to protect babies and mothers. Moreover, labor progress was supposedly assessed by old-fashioned methods, which resulted in performing unnecessary obstetrical practices. Intervention was imposed in cases of inaccurately labeled slow or abnormal labors and failures to progress. It is common practice that a primary cesarean generally produces subsequent surgical deliveries. The author realized that cesareans were performed because of insufficient data on laboring women’s

Elective inductions have not been proven to have a significant increase in the need for a cesarean section.

A catalyst for unplanned cesarean deliveries are inappropriate elective inductions. Being that the direct consequence of inappropriate elective induction is a cesarean delivery, a change must occur in the elective induction process. In order to decrease cesarean delivery rates, the rates of inappropriate elective induction must be decreased. This

Delivering vaginally in any if these cases would be very difficult and dangerous not just for the mother, but also for the baby. However, cesarean delivery is not always chosen in advance, it is also used in emergency situations and during difficult deliveries where it may be the safest option about 10 to 15% of women develop problems that lead to cesarean birth (Lenox Hill Hospital, 1)

I believe expecting mothers need to seek guidance from their doctor on whether or not she should have a vaginal birth, or follow through with a "Elective" C-Section. I feel like women are so concerned about their rights, and though our female rights are important, I also feel that we need to seek guidance from those that are medically trained to see what they think is going to be best for the mother as well as the child. If the doctor feels that the mother and the child will be okay with proceeding with an "Elective" C-Section, I think it is so important (more important than the doctor's opinion) to seek our Heavenly Father's will. Our will might not always be His will, and it is important that we come before Him in all things in order for

The World Health Organisation (WHO) states that Induction of labour should be offered to women when it is considered safer to deliver the baby for either, the baby, the mother, or both, rather than proceed with the pregnancy until spontaneous delivery. WHO specify there should also be an absence of contraindications for vaginal delivery and there should be no indication for a caesarean section (The World Health Organisation, 2011). This is supported by The Royal College of Obstetricians and Gynaecologists (RCOG) and National Institute for Health and Clinical Excellence (NICE) guidelines, (2008) for IOL, which endorse that women should be offered induction after 41 weeks between 41+0 and 42+0 weeks to avoid the risks of post-term pregnancy such as intrauterine fetal death (RCOG,2008; NICE, 2008). Yelikar (2007) suggests that post-term pregnancy is a pregnancy that is greater in length then 294 days from the last menstrual period or where it has progressed passed the expected date of delivery (EDD). It can also be referred to as prolonged pregnancy, post-maturity or post-date pregnancy (Yelikar, 2007)

Pairman et al (2015) state that ‘Induction of labour is the artificial initiation of labour before its spontaneous onset, for the purpose of birthing the baby’ (Pairman, Pincombe, Thorogood, & Tracy, 2015 p 1015). Additionally, a local trust policy suggestions induction of labour (IOL) is ‘An intervention designed to artificially initiate uterine contractions, leading to progressive effacement and dilatation of the cervix and the birth of the baby.’ (Local Trust, 2011 P3). Both definitions state that the IOL is artificially simulated labour with the intention to birth of the baby. However for the purpose of this essay the definition provided by the local trust will be utilised, as it gives

About one-third of births in the United States are by cesarean section. Due to the rising cesarean rates research and professional organizations are recommending letting labor starts on its own as a primary strategy in reducing cesarean rates. Labor starting on its own is defined as birth that occurs after the natural onset of labor without medical intervention. This includes regular, uterine contractions resulting in progressive cervical effacement and dilatation. It encourages physicians and mother to be patient around the end of pregnancy. Spontaneous labor is the best indication to determine the healthiest time for birth. Spontaneously initiated labors can lead to less labor complication labors via Pitocin induced labor or surgery (Wong,

This paper analyzes a labor patient who was scheduled for an induction. Patient Y presented to the maternity unit and was not in active labor. Once in a labor room, Patient Y was connected to electronic fetal monitoring and her induction process was to begin shortly. Her entire birth plan changed rapidly when she was rushed to the operating room for an emergency cesarean section due to non-reassuring fetal heart tones. All aspects of care provided to the patient and her newborn will be explained and analyzed throughout this paper. Upon completion of reading this paper, the reader should have an understanding of the nursing diagnoses, interventions and there effectiveness, and the education the nurse provided to the patient prior to discharge.

According to the American College of Nurse-Midwives (ACNMb) (2015), home births account for 1.4% of all births in the U.S. In eight years the number of home births in the US increased by 41% (ACNM, 2015b). Providing home births falls within the scope of practice of midwives and is supported by the American College of Nurse-Midwives (ACNM, 2015b). A mother can have the option of a home birth as long as the home birth follows regulations set in place by the state and can provide a favorable safe environment for both mother and newborn (ACNM, 2015b). Both the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) state that the ultimate decision of having a home birth is a patient’s right, especially if she is medically well informed (Declercq, & Stotland, 2016).

Labor starts on its own: it is important to know as a woman that induction is forcing labor to begin before the baby or the mother’s body are ready. Sometimes, the body takes a long time to begin the contraction while other times, the body does not respond to the medications and doctors are forced to carry out a cesarean

Existing literature contends that physicians and those in the medical field feel the need to actively "manage" labor and delivery for fear of this "pathological potential" (Arney 1982; Oakley 1993). It has been hypothesized by many authors that women who seek to manage or control their own labors must birth outside of the hospital and have a midwife in attendance”(pg53). in order for a women to have the most control over her birth it is believed that she shouldn’t do it in a hospital because medicalization has turned something that was at one point seen to be human nature into this practice or act that has to have a strict process or outcome. According to brubaker and dillaway "decision-making power and responsibility for her state pass from her to hospital personnel and the physician in charge"(pg. 54). Once a mother is admitted in to a hospital it’s like all her power is gone and she has relinquished it to the medical professional, like final say in how he birthing experience will go belongs to the doctor. The transfer of control from the mom to her medical provider is seen as normal as if that’s how its been done for forever and in America it is a cultural norm. according to brubaker and dillaway the natural birthing experience is different, “very rarely does a birthing woman hand total control of the birth experience over to medical practitioners in these latter two settings”(pg. 54). A mother has more control over her birthing experience in a birthing center and even more control over the experience when it’s an at home

Vaginal birth after caesarean (VBAC) is the name used for identifying the method of giving birth vaginally after previously delivering at least one baby through a caesarean section (CS). A trial of labour (TOL) is the term used to describe the process of attempting a VBAC. An elected repeat caesarean (ERC) is the other option for women who have had a caesarean in the past. The rates of women choosing to deliver by means of an ERC has been increasing in many countries, this is typically due to the common assumption that there are too many risks for the baby and mother (Knight, Gurol-Urganci, Van Der Meulen, Mahmood, Richmond, Dougall, & Cromwell, 2013). The success rate of VBAC lies in the range of 56 - 80%, a reasonably high success rate, however, the repeat caesarean birth rate has increased to 83% in Australia (Knight et al., 2013). It is essential to inform women of the contraindications, success criteria, risks, benefits, information on uterine rupture and the role of the midwife in relation to considering attempting a VBAC (Hayman, 2014). This information forms the basis of an antenatal class (Appendix 1) that provides the necessary information to women who are considering attempting a VBAC and can therefore enable them to make their own decision regarding the mode of birth.