Abstract:
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 μg 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.
journal_name
Am J Obstet Gynecoljournal_title
American journal of obstetrics and gynecologyauthors
Stewart RD,Bleich AT,Lo JY,Alexander JM,McIntire DD,Leveno KJdoi
10.1016/j.ajog.2012.07.032subject
Has Abstractpub_date
2012-10-01 00:00:00pages
290.e1-6issue
4eissn
0002-9378issn
1097-6868pii
S0002-9378(12)00784-3journal_volume
207pub_type
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