Hypoactive uterus Flashcards
1
Q
Definition
A
Contractions of the uterus are irregular, infrequent and ineffectual
2
Q
Types
A
Primary inertia - from start
Secondary inertia - developed after period of good uterine contractions
3
Q
Risk factors
A
- Primigravida
- Old maternal age
- Anaemia and asthenia
- Anxiety and emotional distress
- Induced labour
- Malpresentations, malpositions and cephalopelvic disproportion
4
Q
Signs
A
Labour prolonged
- Slow cervical dilation
- Membranes usually intact
- More susceptible for retained placenta + PPH
5
Q
Diagnosis
A
- Palpation and timing the length of contractions
- Repeated vaginal examination will demonstrate a cervix which fails to dilate
6
Q
Treatment
A
- Re-hydration
- Relaxation = epidurial
- Rupture of membranes
- Syntocinon: contains both oxytocin and ADH (vasopressin)
7
Q
Contractions aim
A
3 every 10 minutes
