HYPOTONIC UTERINE CONTRACTIONSUTERI

HYPOTONIC UTERINE CONTRACTIONS
UTERINE INERTIA
• Etiology and Pathophysiology:
– Overstretching of the uterus --large baby, multiple babies, polyhydramnios, multiple parity
– Bowel or bladder distention preventing descent
– Excessive use of analgesia
• Signs and Symptoms of HYPOTONIC UTERINE INERTIA:
– Weak contractions – become mild
– Infrequent (every 10 – 15 minutes +) and brief,
– Can be easily indented with fingertip pressure at peak of contraction.
– Prolonged ACTIVE Phase
– Exhaustion of the mother
– Psychological trauma - frustrated

Therapeutic Interventions:
1. Ambulation – getting up and walking will increase contractions
2. Nipple Stimulation –causes release of endogenous Pitocin which can stimulate contractions
3. Enema--warmth of enema may stimulate contractions
4. AMNIOTOMY – artificial rupture of the membranes
• Advantages of doing this before Pitocin
– Contractions are more similar to those of spontaneous labor
– Usually no risk of rupture of the uterus
– Does not require as close surveillance
• Disadvantages of an Amniotomy
– Delivery must occur
– Increase danger of prolapse of umbilical cord
– Compression and molding of the fetal head (caput)
• Nursing Care:
– # 1-Check the fetal heart tones
– Assess color, odor, amount
– Provide with perineal care
– Monitor contractions
– Check temperature every 2 hours
5. Pitocin – for augmentation of labor
• Use only if CPD is not present
• Give 20 units / 1000 cc. fluid and hang as a secondary infusion, never as primary
GOAL:
Achieve contractions every 2 - 3 minutes of good intensity with relaxation between
• Nursing Care:
– Assess contractions--are they increasing but not tetanic
– Assess dilation and effacement
– Monitor vital signs and FHT’s

ผลลัพธ์ (ไทย) 1:

HYPOTONIC UTERINE CONTRACTIONSUTERINE INERTIA• Etiology and Pathophysiology:– Overstretching of the uterus --large baby, multiple babies, polyhydramnios, multiple parity– Bowel or bladder distention preventing descent– Excessive use of analgesia• Signs and Symptoms of HYPOTONIC UTERINE INERTIA:– Weak contractions – become mild– Infrequent (every 10 – 15 minutes +) and brief,– Can be easily indented with fingertip pressure at peak of contraction. – Prolonged ACTIVE Phase– Exhaustion of the mother– Psychological trauma - frustrated Therapeutic Interventions:1. Ambulation – getting up and walking will increase contractions2. Nipple Stimulation –causes release of endogenous Pitocin which can stimulate contractions3. Enema--warmth of enema may stimulate contractions 4. AMNIOTOMY – artificial rupture of the membranes• Advantages of doing this before Pitocin– Contractions are more similar to those of spontaneous labor– Usually no risk of rupture of the uterus– Does not require as close surveillance• Disadvantages of an Amniotomy– Delivery must occur– Increase danger of prolapse of umbilical cord– Compression and molding of the fetal head (caput)• Nursing Care:– # 1-Check the fetal heart tones– Assess color, odor, amount– Provide with perineal care– Monitor contractions– Check temperature every 2 hours 5. Pitocin – for augmentation of labor•ใช้เมื่อไม่มี CPD•ให้หน่วย 20 / 1000 cc. น้ำมันและหางเป็นคอนกรีตรอง ไม่เป็นหลักเป้าหมาย: ให้ทุก 2-3 นาทีความเข้มดีด้วยพักผ่อนระหว่างการหด•พยาบาล:-ประเมินหด - พวกเขาเพิ่มขึ้น แต่ไม่ tetanic-ประเมิน dilation และ effacement-ตรวจสอบสัญญาณชีพและของ FHT

ผลลัพธ์ (ไทย) 3:

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