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Uterine hyperstimulation or hypertonic uterine dysfunction is a potential complication of labor induction. This is displayed as Uterine tachysystole - the contraction frequency numbering more than five in a 10-minute time frame or as contractions exceeding more than two minutes in duration. [ 1 ]
Contractions of the uterus require energy, so the longer the mother is in labor the more energy she expends. When the mother is depleted of energy, the contractions become weaker and labor will become increasingly longer. [1] Antibiotics are also an important treatment as infection is a possible result of obstructed labor. [11]
The decrease in the coordination of uterine smooth muscles cells reduces the effectiveness of contractions, causing the uterus to enter a state of uterine quiescence. [8] During the beginning of labour, contractions may initially be intermittent and irregular, [ 7 ] but will transition into a more coordinated pattern as the labour progresses. [ 7 ]
Methylergonovine: This is an ergot alkaloid and has multiple mechanisms of action to induce fast, regular uterine contractions which leads to sustained uterine contraction. [24] It can cause peripheral vasoconstriction and is contraindicated in patients with hypertension or pregnancy related hypertension. [25]
The area of action differs for each effect, contraction occurs in the upper uterine segment while relaxation occurs in the lower uterine segment. [14] Not as efficacious for inducing labor when compared to other prostaglandins. [16] Dinoprost: also known as PGF 2α, is a naturally occurring prostaglandin which causes contraction via PG F ...
Retained placenta is a condition in which all or part of the placenta or membranes remain in the uterus during the third stage of labour. [1] Retained placenta can be broadly divided into: failed separation of the placenta from the uterine lining; placenta separated from the uterine lining but retained within the uterus
Uterine prolapse Pelvic floor dysfunction can be assessed with a strong clinical history and physical exam , though imaging is often needed for diagnosis. As part of the clinical history, a healthcare provider may ask about obstetric history, including how many pregnancies and deliveries, what mode of delivery and if there were any ...
Symptoms of dysmenorrhea often begin immediately after ovulation and can last until the end of menstruation. This is because dysmenorrhea is often associated with changes in hormonal levels in the body that occur with ovulation. In particular, prostaglandins induce abdominal contractions that can cause pain and gastrointestinal symptoms.