Document Detail

Antepartal uterine hypercontractility secondary to nipple stimulation.
MedLine Citation:
PMID:  3982733     Owner:  NLM     Status:  MEDLINE    
An alarming result was noted in conjunction with a nipple stimulation contraction stress test. In a 42-week pregnant woman with suspected postmaturity, gentle self-stimulation of the right nipple through the clothing for one to 1.5 minutes caused the sudden onset of uterine hypercontractility, increased uterine tone, and severe fetal bradycardia. The bradycardia persisted for approximately five minutes despite supportive measures. Operative delivery was being considered when the fetal heart rate returned to a normal baseline. Ultimately, the patient delivered vaginally without further significant complication. This experience demonstrated that carefully controlled breast stimulation may result in unpredictable uterine hyperstimulation with fetal bradycardia.
M A Schellpfeffer; D Hoyle; J W Johnson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  65     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1985 Apr 
Date Detail:
Created Date:  1985-05-01     Completed Date:  1985-05-01     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  588-91     Citation Subset:  AIM; IM    
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MeSH Terms
Bradycardia / etiology
Breast / physiology*
Fetal Diseases / etiology
Fetal Monitoring
Nipples / physiology*
Self Stimulation / physiology*
Uterine Contraction*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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