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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]
Montevideo units are calculated by obtaining the peak uterine pressure amplitude and subtracting the resting tone. Then adding up those numbers generated by each contraction within a 10-minute window. For example, five contractions occurred, producing peak pressures of 55, 50, 45, 65, and 50 mm Hg, respectively.
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. This may have serious effects on both the mother and the fetus including ...
Uterine contractions are muscle contractions of the uterine smooth muscle that can occur at various intensities in both the non-pregnant and pregnant uterine state. The non-pregnant uterus undergoes small, spontaneous contractions in addition to stronger, coordinated contractions during the menstrual cycle and orgasm.
Uterine muscle contractions are induced via a G-protein pathway stemming from the oxytocin receptor (OXTR), the binding and activation site of oxytocin. [7] When oxytocin binds to its associated receptors in the uterus, a cascade is initiated that results in an increase in calcium and subsequently an increase in muscle contractions. The release ...
Synthetic oxytocin, sold under the brand name Pitocin among others, is a medication made from the peptide oxytocin. [6] [7] As a medication, it is used to cause contraction of the uterus to start labor, increase the speed of labor, and to stop bleeding following delivery. [6]
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]
There are also risks associated with membrane sweeping. The risks include irregular contractions, bleeding, and in 1 out of every 10 women an amniotic sac rupture, which can lead to a formal induction within 24 hours of the rupture if labor hasn't been induced. [5] The use of intrauterine catheters are also indicated.