Document Detail

Does coupling of uterine contractions reflect uterine dysfunction?
MedLine Citation:
PMID:  8197487     Owner:  NLM     Status:  MEDLINE    
In a cohort analytical study 47 primigravidas in spontaneous normal labour at term were divided into two groups depending on the presence or absence of coupled uterine contractions during active labour. During monitoring with a pressure-tip intra-uterine catheter, 24 patients developed coupled contractions and 23 had a normal contraction pattern. There were no statistically significant differences between the two groups with regard to maternal age, gestational age, maternal height, fetal weight, head circumference and pelvic size. Patients who developed coupled contractions had a longer duration of labour, a higher uterine activity integral and an increased incidence of caesarean section for failure to progress. Because coupling of uterine contractions may be indicative of dysfunctional uterine activity, and hence a prolonged first stage of labour, failure to progress during labour in these patients should be interpreted with caution in order to avoid the incorrect diagnosis of cephalopelvic disproportion.
C J Ferreira; H J Odendaal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  84     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1994 Jan 
Date Detail:
Created Date:  1994-06-30     Completed Date:  1994-06-30     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  20-3     Citation Subset:  IM    
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MeSH Terms
Diagnostic Errors
Monitoring, Physiologic
Obstetric Labor Complications / diagnosis
Oxytocin / therapeutic use
Time Factors
Uterine Contraction / drug effects,  physiology*
Uterine Inertia / diagnosis*,  drug therapy
Reg. No./Substance:

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