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.

How do you manage tachysystole?

It is possible that the situation will become more severe very quickly. Treatments for tachysystole and fetal oxygen deprivation include placing the mother in the left lateral position, giving her oxygen, and increasing her IV fluids. Sometimes, additional medications can be given for fetal resuscitation.

What causes uterine Hypertonus?

Inappropriately high concentrations of oxytocin can cause uterine hypertonus, when the uterus does not relax between contractions, and fetal distress can occur.

Is uterine Tachysystole the same as uterine hyperstimulation?

Uterine tachysystole is defined as more than 5 contractions in 10 minutes, averaged over a 30-minute window. Uterine hypertonus is described as a single contraction lasting longer than 2 minutes. Uterine hyperstimulation is when either condition leads to a nonreassuring fetal heart rate pattern.

What medication is recommended to relieve pain for 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.

What does uterine hyperstimulation feel like?

Mild to moderate OHSS With mild to moderate ovarian hyperstimulation syndrome, symptoms can include: Mild to moderate abdominal pain. Abdominal bloating or increased waist size. Nausea.

Can uterine hyperstimulation occur naturally?

Hyperstimulation may occur with or without fetal heart rate (FHR) changes. Where hyperstimulation occurs naturally, a CTG is also required to ensure early recognition of FHR changes. If not corrected hyperstimulation, can lead to fetal hypoxia and even uterine rupture (in multips).

How do you manage hypertonic uterine dysfunction?