Defining uterine tachysystole: how much is too much?

被引：27

作者：

Stewart, Robert D. ^{[1
]}

Bleich, April T. ^{[1
]}

Lo, Julie Y. ^{[1
]}

Alexander, James M. ^{[1
]}

McIntire, Donald D. ^{[1
]}

Leveno, Kenneth J. ^{[1
]}

机构：

[1] Univ Texas SW Med Ctr Dallas, Dept Obstet & Gynecol, Dallas, TX 75390 USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2012年 / 207卷 / 04期

关键词：

abnormal labor; misoprostol; uterine hyperstimulation; uterine tachysystole; OXYGEN-SATURATION; FETAL; CONTRACTIONS; LABOR;

D O I：

10.1016/j.ajog.2012.07.032

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: We sought to determine if uterine tachysystole, >= 6 contractions per 10 minutes, within the first 4 hours of labor induction, is associated with adverse infant outcomes. STUDY DESIGN: This was a prospective cohort study of 584 women >= 37 weeks' gestation undergoing induction of labor with 100 mu g of oral misoprostol. Fetal heart rate tracings were analyzed for contractions per 10 minutes during the initial 4 hours after misoprostol administration. Patients were analyzed based on the maximum number of contractions per 10 minutes. Infant condition at birth was assessed using the fetal vulnerability composite. RESULTS: Adverse infant outcomes showed no association with increasing number of contractions per 10 minutes. Six or more contractions in 10 minutes were significantly associated with fetal heart rate decelerations (P <= .001). Analysis was performed using the maximum number of contractions per 30 minutes with similar results. CONCLUSION: Uterine tachysystole, as currently defined, when occurring remote from delivery is not associated with adverse infant outcomes.

引用

页码：290.e1 / 290.e6

页数：6

共 14 条

[1]

ACOG Committee on Obstetric Practice, 2006, Obstet Gynecol, V108, P1319

[2] DANGERS OF USING OPTIMAL CUTPOINTS IN THE EVALUATION OF PROGNOSTIC FACTORS [J].

ALTMAN, DG ;

LAUSEN, B ;

SAUERBREI, W ;

SCHUMACHER, M .

JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1994, 86 (11) :829-835

[3] Suboptimal analysis using 'optimal' cutpoints [J].

Altman, DG .

BRITISH JOURNAL OF CANCER, 1998, 78 (04) :556-557

[4] Elevated uterine activity increases the risk of fetal acidosis at birth [J].

Bakker, P. C. A. M. ;

Kurver, P. H. J. ;

Kuik, D. J. ;

Van Geijn, H. P. .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2007, 196 (04) :313.e1-313.e6

[5]

Cahill AG, 2009, OBSTET GYNECOL, V114, P124, DOI [10.1097/AOG.0b013e3181a99def, 10.1097/AOG.0b013e3181aef106]

[6] Excessive uterine activity accompanying induced labor [J].

Crane, JMG ;

Young, DC ;

Butt, KD ;

Bennett, KA ;

Hutchens, D .

OBSTETRICS AND GYNECOLOGY, 2001, 97 (06) :926-931

[7]

Dildy GA, 1996, AM J OBSTET GYNECOL, V175, P682

[8] Multicenter study on the clinical value of fetal pulse oximetry .1. Methodologic evaluation [J].

Goffinet, F ;

Langer, B ;

Carbonne, B ;

Berkane, N ;

Tardif, D ;

LeGoueff, F ;

Laville, M ;

Maillard, F ;

Breart, G ;

Schlaeder, G ;

Papiernik, E ;

Cabrol, D ;

Frydman, R ;

Nisand, I ;

Puech, F ;

Codaccioni, X ;

Thoulon, JM .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1997, 177 (05) :1238-1246

[9] THE EFFECT OF OXYTOCIN-INDUCED HYPERSTIMULATION ON FETAL OXYGEN [J].

JOHNSON, N ;

VANOUDGAARDEN, E ;

MONTAGUE, I ;

MCNAMARA, H .

BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1994, 101 (09) :805-807

[10] Ruptured membranes at term: Randomized, double-blind trial of oral misoprostol for labor induction [J].

Lo, JY ;

Alexander, JM ;

McIntire, DD ;

Leveno, KJ .

OBSTETRICS AND GYNECOLOGY, 2003, 101 (04) :685-689

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