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Re: A) What causes Tatanic (spelling) contractions B) follow-up question

From: Julie (anonymous@obgyn.net)
Mon, 9 Feb 1998 08:28:15 -0600 (CST)

I guess I should have explained this a little more clearly. I wasn't in labor when this was happening, nor was I on medication. I was having NST's 3 x a week and a 3 minute contraction showed up on my reading, then that night I timed a contraction for 1/2 hour. This was all 4 weeks before the actual birth of my son. Is this not a normal thing? I never had anymore experience with Tetanic contractions after this episode.

So, being that I was not going through labor during these contractions, do you think I'm at risk for them happening again?

>Tetanic contractions means the uterus keeps contracting without easing up and relaxing -- in other words, extra long, extra strong contractions. They are most often caused by medication like pitocin, although occasionally they will occur spontaneously, more often in an
>obstructed labor (baby too big for pelvis, for examople)

> Could it be caused by Uterine Didlephys?
>
>Maybe, if that lead to an obstructed labor.
>
> Will it
>>likely happen again?
>
>Depends on why it happened in the first place. If you were on pitocin
>when it happened, it will likely not happen again, but if pitocin is
>used again, it shuld be very closely monitored.
>
> Does it cause the uterus to become weaker?
>
>Not really.
>
> I know I
>>should have asked all of these questions at the time, but I had so much
>>going on in my pregnancy that I didn't want to know any more bad news.
>>
>>And also, I had a question on Uterine Didlephys answered by Ms. Lovely
>>and I had just a quick follow up question, she wrote 'I have personally
>>helped care for two woment through three prgnancies who have had nis
>>anatomic situation. All three were uncomplicated. While Preterm labor
>>is a recognized risk of your condition, the risk appears to get lower
>>with each subsequent pregnancy (kind of a "stretching out the uterus"
>>effect.)' Now, would it not be true in saying that my right uterus is
>>the only uterus that has been "stretched out" being that was the side I
>>carried my son.
>
>Yes.
>
> So where as if I was to get pregnant in the left side,
>>problems MAY be the same, if not worse?
>
>Possibly.
>>
>--
>Kelly Shanahan, MD, FACOG
>S. Lake Tahoe, CA
>

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