Obstetric and Gynecological Nursing - The Carter Center

Nipple stimulation, which releases naturally occurring
oxytocin, may be used as augmentation in labour.
Unfortunately, because the breasts in most women become
tender after only a few minutes, the procedure can not be
continued long enough to be effective.
9.3 Trial of Labour
Definition: - A test given to a woman with mild or
moderate CPD to see if she can deliver her baby with least
damage to her self & baby.
The out come of a trial of labour depends on :-
1. The trenght of uterine contraction
2. The stretch of the pelvic joints & ligaments
3. The degree of moulding
4. The attitude of the midwife
Management of a trial of labour
- The trial of labour must be carried out in the hospital where
there is a service for caeseraen section at any time.
1. The Pregnancy is allowed to go to term
2. Careful observation are kept. Descent of the head
assessed frequently. Strict asepsis is maintained as
there is possibility of caeserean section FH and mother’s
pulse and B/P is also observed
N.B:- Desent is the most important observation
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