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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 ]
Uterine Tachysystole is diagnosed upon the presence of several different clinical presentations of a laboring patient. If a patient experiences any of the following presentations during labor, they may receive a diagnosis of Uterine Tachysystole: [1] The patient experiences more than five contractions in 10 minutes over a 30 minute time period [1]
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This refers to uterine conditions that result in the uterus not having enough coordination or strength to dilate the cervix and push the baby through the birth canal. Issues with uterine contractions are the main cause of prolonged labor during the latent phase. Contractions may not occur as of a result of uterine tumors.
Bandl's ring (also known as pathological retraction ring) is the abnormal junction between the two segments of the uterus; it is a late sign associated with obstructed labor. [1] Prior to the onset of labor, the junction between the lower and upper uterine segments is a slightly thickened ring.
A uterine massage is performed by placing a hand on the lower abdomen and using repetitive massaging or squeezing movements in attempt to stimulate the uterus. It is theorized, the massaging motion stimulates uterine contraction and may also trigger the release of local prostaglandins to help hemostasis. [17]
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 ]
Braxton Hicks contractions, also known as practice contractions or false labor, are sporadic uterine contractions that may start around six weeks into a pregnancy. [1] However, they are usually felt in the second or third trimester of pregnancy .