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Augmentation Labor | What You Need To Know

Dawn Reid, EEPM CNCM MMID
by Dawn Reid, EEPM CNCM MMID
Last updated July 28, 2022
Reading Time: 4 min
Augmentation Labor What You Need To Know

Sometimes, even with spontaneous onset of labor, labor might stop or have slow progress. It’s also possible you might have premature rupture of the amniotic sac with no labor. This doesn’t always mean you need to have labor augmented.

You might need to rest, or use relaxation techniques and expectant management. If you have other medical complexities, the augmentation of labor could be the safest option.

Think informed consent and seriously consider whether or not to augment labor, as there are maternal and perinatal mortality risks factors involved.

What is labor augmentation?

Augmenting labor means using techniques or medication to speed up the progress of the labor process.

Usually, for augmentation of labor, you have been in active labor or in labor spontaneously with uterine contractions prior to labor augmentation. Sometimes augmentation occurs due to prolonged labor or maternal exhaustion.

You might like to read Baby Birth Stories: Induction & Augmentation.

Is augmentation labor induction?

Inducing labor generally means starting the labor from the beginning where there has been no spontaneous labor. Augmentation of labor is used in clinical practice, mostly when uterine contractions have occurred and the woman has a prolonged second stage.

What are the risk factors of labor augmentation?

As with any intervention or procedure, there are risk factors, for you and your baby, that must be considered.

Some of these might be:

  • Uterine hyperstimulation
  • Uterine rupture
  • Postpartum hemorrhage
  • Higher risk of cesarean section.

You can read more in our article Induction of Labour – What Are The Risks Of Being Induced?

How do you augment labor?

Augmentation of labor requires you to have an IV cannula inserted into the vein. If you are having an epidural with the augmentation of labor you will also require an indwelling catheter into your bladder as you might not be able to feel when you need to pee.

You might also need:

  • Intravenous oxytocin infusion, called oxytocin augmentation
  • Artificial rupture of membranes
  • Fetal heart rate monitoring
  • A digital vaginal examination.

Cascade of intervention – labor augmentation

The cascade of intervention during labor is well documented. It simply means that once one intervention has occurred, there is a higher chance that another, and then another, will happen.

Starting with what you might think is a simple augmentation can eventually lead to a c- section.

Recommended readings:

The Cascade Of Intervention – What You Need To Know

Gentle C-Section | 11 Ways To Have One.

Informed consent for labor augmentation

Informed consent is vital. If you don’t have trustworthy, evidence-based information, it might be difficult for you to give informed consent.

Most likely this information will come in a document. Look at it with a trusted support person and make sure you are happy you understand completely what you are signing up for.

Recommended readings:

When Doctors Don’t Listen: Informed Consent and Birth

Your Rights At 42 Weeks Of Pregnancy.

Pain relief for augmentation of labor

All labor interventions can mess around with the normal rhythm of labor; this makes the uterine contractions more painful.

Given augmentation of labor means artificial labor and a more intense contraction pattern, most women will require some form of pain relief to cope.

Some examples of way to relieve pain during labor are:

  • Epidural analgesia
  • Narcotics
  • Nitrous oxide (gas)
  • Sterile water injections
  • Analgesia.

Recommended readings:

Epidural During Labour – Everything You Need To Know

Convinced You Want Drugs in Labour?

Will the labor augmentation affect the birth?

Where you might previously have been deemed low risk, the decision to augment labor now puts you in a higher risk category.

In Australia, women deemed ‘risky’ are discouraged from physiological birth. It’s important to discuss your wishes with your primary care provider and come up with a plan that suits you.

This means:

  • Active management of the third stage (birth of the placenta)
  • No water for labor or birth
  • Continuous fetal heart rate monitoring, in case of fetal distress
  • You might or might not have a vaginal birth (there is an increased risk of emergency cesarean section)
  • You will be closely monitored (heart rate, contraction pattern, blood pressure).

Your baby might or might not cope well with augmentation of labor and birth; therefore, the pediatric team might be present at the birth to assist, if required.

Having a birth plan is important. We’ve made making one much easier.

Take a look at Birth Plan – Why Write One? Free Birth Plan Template.

Previous Post

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Next Post

What Is An Episiotomy? | What You Need to Know

Dawn Reid, EEPM CNCM MMID

Dawn Reid, EEPM CNCM MMID

Dawn Reid is a mother of four and is married to a wonderful man for more than 27 years. She's been a midwife and nurse for over 30 years, with experience in many areas - most recently in her own private practice. Dawn is passionate about advocacy, rights and informed consent for women and their families. She loves travel, reading, fishing and the beach. Dawn is pursuing her PhD in Midwifery in 2021 and is very excited to be a writer at BellyBelly.

Next Post
What Is An Episiotomy What You Need to Know

What Is An Episiotomy? | What You Need to Know

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