Distribution of Cases According to Maternal Complications Group - A Group - B Maternal Complications (Oral) (Vaginal) n (%) n (%) Uterine Tachysystole
0 0.0% 1 2.9% Nil 33 100.0% 34 99.1% Total 33 100.0% 35 100.0% Table 11.
In BJOG in 2004 it was shown oral 100gm of dose at four hourly intervals was cheap and effective alternative to vaginal Prostaglandin E2 tablets and not associated with significant hyper stimulation and tachysystole
producing similar maternal and neonatal outcomes22, these re sults are confirmed by our study that oral 100 gm of oral misoprostol is a safe and economical alternative to prostaglandin vaginal tablets and the results in our study show similar outcomes without any significant differences in the two groups regarding the cervical score, the induction to delivery time, the number of patients delivering vaginally, the caesarean rates and the neonatal outcomes.
and hypertonus did not occur in both groups.
After 6 hours, she develops uterine tachysystole
with recurrent variable decelerations but the oxytocin infusion is continued at the same rate (FIGURE 6).
Uterine contractions were monitored to detect hyper stimulation and tachysystole
. Pelvic examination was mandatory before repeating the dose.
Over the years, I have seen a reluctance to appropriately utilize pitocin to remedy soft-tissue dystocias due to over reliance/interpretation of fetal heart tracings, including nonsignificant "tachysystole
." While on the one hand we know the very low positive predictive value of a "nonreassuring" tracing, the clinician seems constrained to perform a cesarean rather than risk any second-guessing should a less-than-an-ideal outcome be the case.
Misoprostol was associated with more tachysystole
(16% for oral and 20% for intravaginal administration) than was dinoprostone/oxytocin (2%), but rates of hyperstimulation were similar: 4%, 7%, and 2%, respectively.
Both the groups were given antibiotics like ampicillin/amoxicillin and were monitored for foetal distress, tachysystole
, hyperstimulation and progress of labour.
When clear definitions of abnormal heart-rate patterns and tachysystole
are addressed through Specific interventions, according to this prospective, nonrandomized study of 14,398 women undergoing induction of labor with oxytocin.
Hyperstimulation was defined as tachysystole
(at least 6 contractions in 10 minutes) or prolonged uterine contractions > 2 minutes accompanied by abnormal fetal heart rate tracing.
Depending on the clinical situation, efforts to resolve the abnormal pattern include (but are not limited to) provision of maternal oxygen, change in maternal position, discontinuation of labor stimulation, treatment of maternal hypotension, and treatment of tachysystole
with FHR changes.
In the Misoprostol group, the present study says there is an increased incidence of tachysystole
4% and hyperstimulation 6%.