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Re: Difference between Augmentation and Induction...From: R. Daniel Braun, MD (anonymous@obgyn.net)Thu, 30 May 2002 16:06:49 -0500 (CDT)
At Thu, 30 May 2002, Nikki wrote: > >I am currently 37 weeks and going for a VBAC. My first via c-section >was due to a failed induction and malpresentation of the head. I do not >want to be induced at all. I know that Cytotec is more risky than >pitocin when it comes to uterine rupture, however, I know Pitocin does >carry a higher risk as well. Since I want to go into labor by myself, >what will happen if my labor stalls? Is it safe to give pit in a VBAC >when already in labor? Is this what is meant by augmentation? I really >would like to avoid being strapped to monitors and IV's. Forunatley, my >hopsital uses telemetry, so I may be able to avoid "bed-laboring". Thank >you in advance for answering my questions. > >Sincerely, >Nikki R. Induction is starting or "Inducing" labor. Augmentation is helping it along once it has already started(either spontaneously or by induction) If I have a patient with a prior cesarean who needs to be induced, I recommend repeat cesarean delivery instead. A recent study in the JAMA shows that the Perinatal Mortality rate(Death of babies before delivery until 28 days after) is increased 11 times by attempting a VBAC. It is increased from 1.1 per 10,000 deliveries to 12 per 10,000 deliveries. Most of those resulting from uterione rupture. (1 per 100 deliveries). Induction has been shown to increase the uterine rupture rate to higher than 1 per 100 deliveries.
-- R.Daniel Braun, MD FACOG FOG **Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
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