ASSISTED

DELIVERY &
CESAREAN BIRTH
 Assisted delivery
Induction of labor
a) Artificial rupture of membranes.
b) Oxytocin induction.

Assisted delivery
• Episiotomy.
• Vacuum assisted delivery.
• Forceps-Assisted delivery.
 Induction of labor
Induction of labor - It is the decision to end the pregnancy.

Indications of induction of labor:

Any condition that endangers the life of the woman or the fetus if the pregnancy were to continue.
Post date pregnancy – a pregnancy that go beyond the expected due date.
Premature rupture of membranes (PROM).
Spontaneous rupture of membranes (SROM) without the onset of spontaneous labor.
Chorioamnionitis – infection of the fetal membranes.
Pregnancy induced hypertension.
Gestational diabetes.
Induction of labor:
Artificial rupture of
membranes

It is also known as
amniotomy.
It is the use of amnihook to
rupture the membrane. This
process causes the body to
release prostaglandin that
would enhance labor.
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Induction of labor:
Oxytocin induction

It is a synthetic form of the

posterior pituitary
hormone that causes the
uterus to contract.
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Assisted
delivery:
Episiotomy
A surgical incision
made into the
perineum to enlarge
the vaginal opening
just before the baby is
born.
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Assisted delivery:
Vacuum assisted
delivery

A device (vacuum
extractor) is used to
hasten delivery.
 Complications of
vacuum assisted delivery
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Assisted delivery:
Forceps-assisted
delivery

Delivery with the use of

metal instruments
(forceps) that are placed
around the head of the
fetus.
Cesarean section
 Cesarean section
Cesarean section = It is the delivery of the fetus through abdominal and
uterine incisions.

Indications:
History of previous cesarean.
Labor dystocia (difficult labor).
Fetal distress.
Breech presentation (Buttocks or feet).