Contractions most forceful in the middle of uterus rather than the fundus will lead a nurse to suspect that the fetus of the woman in labor is in hypertonic uterine dysfunction.
A possible side effect of labor induction is uterine hyperstimulation or hypertonic uterine malfunction. This is shown as uterine tachysystole, which is defined as more than five contractions in a 10-minute period or as contractions lasting longer than two minutes. Placental abruption, fetal heart rate irregularities, and uterine rupture can all result from uterine hyperstimulation. It is usually treated with terbutaline.
Uterine hyperstimulation treatments are mostly experimental. Those that have shown improvement in the situation include:
To reduce the danger of uterine hyperstimulation and its impact on fetal heart rate, prostoglandin E2 is given prior to childbirth.It has been demonstrated that administering tocolytic therapy with 2-adrenergic medications successfully lowers fetal heart rate while also stabilizing uterine contractions.An alternative to Prostoglandin E2 is a balloon catheter, which lessens the risk of uterine hyperstimulation and its effects on fetal heart rate.To learn more about pregnancy visit :
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