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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]
This procedure also leaves no scars on the uterus which makes further pregnancies and births safer for the mother. [1] Another important factor in treating obstructed labor is monitoring the energy and hydration of the mother. [11] Contractions of the uterus require energy, so the longer the mother is in labor the more energy she expends.
Uterine Tachysystole is a condition of excessively frequent uterine contractions during pregnancy. [1] It is most often seen in induced or augmented labor , though it can also occur during spontaneous labor , [ 2 ] and this may result in fetal hypoxia and acidosis .
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 ]
The most common cause of postpartum hemorrhage is a loss of muscle tone in the uterus. Normally, the uterus will contract to constrict blood vessels and decrease the flow of blood to prevent bleeding out. However, if there is a loss of muscle tone, see uterine atony, there is an increased risk of bleeding. Oxytocin is the first-line ...
Uterine distention caused by things like more than one fetus present, polyhydramnios, fetal macrosomia, uterine fibroids, chorioamnionitis can also lead to decreased uterine function and atony. Retained placental tissue or placental disorders, such as an adherent placenta, placenta previa , and abruption placentae increase the mother's risk of PPH.
Intrauterine hypoxia can be attributed to maternal, placental, or fetal conditions. [12] Kingdom and Kaufmann classifies three categories for the origin of fetal hypoxia: 1) pre-placental (both mother and fetus are hypoxic), 2) utero-placental (mother is normal but placenta and fetus is hypoxic), 3) post-placental (only fetus is hypoxic).
Abnormal uterine bleeding (AUB), also known as atypical vaginal bleeding (AVB), is vaginal bleeding from the uterus that is abnormally frequent, lasts excessively long, is heavier than normal, or is irregular. [1] [3] The term dysfunctional uterine bleeding was used when no underlying cause was present. [3] Vaginal bleeding during pregnancy is ...