Tag: labor pain

Hypertonic Uterine Contraction: Understanding Causes, Risks, and Management

JiangRuoan

List of Pertinent Information:

1. Uterine hyperstimulation, also known as hypertonic uterine dysfunction, can occur as a complication of labor induction.
2. It is characterized by frequent contractions (more than five in 10 minutes) or contractions lasting more than two minutes.
3. Uterine hyperstimulation can result in fetal heart rate abnormalities, uterine rupture, or placental abruption.
4. The drug Misoprostol, used for peptic ulcers, can cause uterine hyperstimulation when used to induce labor.
5. Terbutaline is commonly used to treat uterine hyperstimulation.
6. Prostaglandin E2 can be administered before labor to minimize the risk of hyperstimulation and its effects on the fetal heart rate.
7. Tocolytic treatment with β2-adrenergic drugs has been used to stabilize uterine contractions and lower fetal heart rate.
8. Using a balloon catheter for labor induction instead of Prostaglandin E2 can reduce the risk of uterine hyperstimulation and its impact on the fetal heart rate.

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Cervical Dilatation: Stages, Factors, and Labor Progression Insights

JiangRuoan

Revised list:

– Cervical dilation is when a woman’s cervix is fully dilated to 10 cm and fully effaced.
– The second stage of labor begins when a woman’s cervix is fully dilated.
– Fully dilated cervix does not mean the baby will be delivered immediately. The baby may need time to move down the birth canal.
– The second stage ends after the baby is delivered.
– The duration of the second stage can vary from minutes to hours.
– Pushing occurs only with contractions, and the mother rests between them.
– Pushing takes longer for first-time pregnant people and for women who have had epidurals.
– The length of pushing is determined by hospital policy, doctor’s discretion, the health of the mom and baby.
– The mother is encouraged to change positions, squat with support, and rest between contractions.
– Forceps, vacuum, or cesarean delivery may be considered if the baby isn’t progressing or the mother is exhausted.
– The third stage of labor is the delivery of the placenta.
– The placenta is delivered through contractions, usually with one push.
– The third stage can last 5 to 30 minutes.
– Placing the baby on the breast for breastfeeding can speed up the delivery of the placenta.
– Postpartum recovery is referred to as the fourth stage of labor.

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