How do you manage hypertonic uterine contractions?
How do you manage hypertonic uterine contractions?
Hypertonic uterine dysfunction is difficult to treat, but repositioning, short-acting tocolytics (eg, terbutaline 0.25 mg IV once), discontinuation of oxytocin if it is being used, and analgesics may help.
How is Hypertonicity of the uterus treated?
Uterine hyperstimulation may result in fetal heart rate abnormalities, uterine rupture, or placental abruption. It is usually treated by administering terbutaline.
What is the medical management for hypotonic uterus?
Oxytocin is the medication of choice for augmenting contractions. The dosage regimen should be titrated to effect for achieving adequate uterine contractions.
How do you manage uterine hyperstimulation?
Administering terbutaline while continuing oxytocin appears to be more effective than withdrawing oxytocin in relieving uterine hyperstimulation during labor. Rapid improvement may be especially helpful when vaginal delivery is attempted after past cesarean section or in multiple pregnancies.
What is hypertonic labor and how is it treated?
A condition in which frequent, painful, but poor-quality contractions fail to accomplish effective cervical effacement and dilation. Hypertonicity usually occurs in the latent phase of labor and most often is related to fetal malpresentation and cephalopelvic disproportion.
Which of the following are your nursing interventions in patient experiencing hypotonic contraction?
Hypotonic Labor Nursing interventions: assess contraction pattern; provide support; monitor vital signs; frequently assess fetal status; if considering cesarean birth, instruct mother about procedure.
What causes hypertonic uterine contraction?
Uterine hyperstimulation is a complication that can occur with excessive use of Pitocin during labor. Pitocin is a medication administered to pregnant women to induce or speed up labor. It is a synthetic form of oxytocin – the hormone a mother’s body produces naturally during labor.
What can you do for hypotonic uterine dysfunction?
What drug relaxes the uterus?
Doctors may try to stop or delay preterm labor by administering a medication called terbutaline (Brethine). Terbutaline is in a class of drugs called betamimetics. They help prevent and slow contractions of the uterus. It may help delay birth for several hours or days.
What is uterine Hypertonia?
Inappropriately high concentrations of oxytocin can cause uterine hypertonus, when the uterus does not relax between contractions, and fetal distress can occur. As labour progresses and the woman’s ‘endogenous’ induction mechanisms come into play, the concentration of oxytocin may need to be reduced.
What should be the nurses priority action for a woman with hypertonic uterine contractions?
Hypertonic Labor Nursing interventions: assess uterine contraction pattern; provide rest (analgesia); provide comfort measures; monitor maternal vital signs; frequently monitor fetal status. Lateral position; administer oxygen by mask.
What causes hypertonic uterine action?
What are examples of tocolytics?
Answer. The most common tocolytic agents used for the treatment of preterm labor are magnesium sulfate (MgSO4), indomethacin, and nifedipine.
What medications can be used to help relax the uterus before it can be replaced?
Oxytocin and misoprostol are the uterotonic drugs most commonly used for induction and augmentation of labor.
What is the management of cervical dystocia?
Medical therapy for dystocia, based on the administration of oxytocin and calcium gluconate, can be directed and tailored based on the results of monitoring. Generally, the administration of oxytocin increases the frequency of uterine contractions, while the administration of calcium increases their strength.
What is the treatment of dystocia?
Fetal dystocia is abnormal fetal size or position resulting in difficult delivery. Diagnosis is by examination, ultrasonography, or response to augmentation of labor. Treatment is with physical maneuvers to reposition the fetus, operative vaginal delivery.
What is hypertonic uterine inertia?
HYPERTONIC UTERINE INERTIA (Uncoordinated Uterine Action) Types. Colicky uterus: incoordination of the different parts of the uterus in contractions. Hyperactive lower uterine segment: so the dominance of the upper segment is lost.
What is a uterine relaxant?
Uterine relaxants are also called tocolytics, where ‘toco-‘ refers to childbirth, and ‘-lytic’ means to terminate. They’re used to stop premature labor inorder to give time for the fetal lungs to mature.
Which drug causes uterine relaxation?
Tocolytic agents for pharmacologic inhibition of uterine contractions include magnesium sulfate and nifedipine, less commonly ritodrine, terbutaline, or other beta-adrenergic agents.
