Discoordinated labor activity

Discoordinated labor activity Characterized by a systemic reduction of the uterus (bottom and lower segment). Contractions are regular, but very painful and ineffective; The opening of the pharynx occurs slowly, despite the absence of signs of rigidity. There is no progression of the presenting part of the fetus, spontaneous urination is disturbed, although there are no signs of contraction of the bladder. Often there is intrauterine hypoxia of the fetus due to a disorder of uteroplacental blood circulation.

Treatment of abnormalities of labor is determined by the condition of the woman. If the mother is very tired, she should be given a rest for 2-4 hours (obstetric anesthesia). To do this, premedication is performed: 0.5-1 ml of a 0.1% solution of atropine sulfate, then 500-1000 mg of Viadryl IV or 20 ml of 20% GOMC solution. After the end of narcotic sleep, the birth activity is usually intensified and additional use of stimulant preparations is not required. If the contractions remain weak, one of the pharmacological schemes of rhythmostimulation is used. With the mature cervix of the uterus, it is expedient to intravenously drip oxytocin (5 units of oxytocin diluted in 500 ml of 5% glucose solution) at a rate of 8 to 40 drops per minute; With immature cervix of the uterus before the introduction of oxytocin create a hormonal background, appointing estrogens - 20 000 units of estradiol dipropionate (estradiol propionate) together with 0.5 ml of anesthetic in the thickness of the cervix. In recent years, successfully applied iv injection of 5 mg of prostaglandin F2alpha in 500 ml of isotonic sodium chloride solution or 2.5 mg of prostaglandin F2alph along with 2.5 units of oxytocin diluted in 500 ml of isotonic sodium chloride solution. The rate of administration is from 6 to 20-30 drops per minute.

Treatment of excessive (rough) labor is carried out with the help of a short-term etheric-oxygen mask anesthesia.

In the case of non-coordinated labor, sedatives and antispasmodics are used (no-shpa, 2 ml IM, etc.). It is also possible to use obstetric anesthesia with viadryl or GHB.