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Re: hyperstimulation vs tachysystoleFrom: Geffrey H. Klein, MD (gklein@bcm.tmc.edu)Wed Jun 25 16:46:59 1997
>We are having quite a debate at work about the definations of >hyperstimulation vs tachysystole , can anyone here enlighten me as well >as supply references? I would be most grateful for the help. Definitions: a) Tachysystole: At least 6 contractions in 10 minutes for 2 consecutive 10 minute periods b) Hypertonus: A single contraction lasting 2 minutes c) Hyperstimulation Syndrome: tachysystole or hypertonus with associated fetal tachycardia, late decelerations, and/or loss of BTBV i) Treatment: - Terbutaline 250 micrograms IV/IM or - MgSO4 4g load over 20 minutes followed by 2g/hr IV Wing DA. Jones MM. Rahall A. Goodwin TM. Paul RH. A comparison of misoprostol and prostaglandin E2 gel for preinduction cervical ripening and labor induction [see comments]. [Clinical Trial. Journal Article. Randomized Controlled Trial] American Journal of Obstetrics & Gynecology. 172(6):1804-10, 1995 Jun. Sanchez-Ramos L. Kaunitz AM. Del Valle GO. Delke I. Schroeder PA. Briones DK. Labor induction with the prostaglandin E1 methyl analogue misoprostol versus oxytocin: a randomized trial. [Clinical Trial. Journal Article. Randomized Controlled Trial] Obstetrics & Gynecology. 81(3):332-6, 1993 Mar.
-- Geffrey H. Klein, MD listowner: OB-GYN-L Advisory Board Chairman, OBGYN.net < http://www.obgyn.net > Co-moderator: sci.med.obgyn gklein@bcm.tmc.edu gklein@icsi.net http://members.aol.com/gklein01/geff.html 6800 W. Loop South #520 Bellaire, Texas 77401 (713) 664 8900
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