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MRCOG PART 2 SBAs and EMQs

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EMQ1470
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prostaglandin and hyperstimulation query

prostaglandin and hyperstimulation query Posted by nee P.

 

A 23 year old primigravida is admitted for induction of labour at 39 weeks gestation because of symphysis pubis diastasis. Three hours after vaginal prostaglandin administration, she complains of painful contractions every minute. CTG shows contractions 8:10 lasting ~30s. The fetal heart rate is 140bpm with good variability and accelerations.

 

     Intra-muscular analgesia

 

The query is why not to give subcutaneous terbutalin to this patient if she is contracting 8 in 10 min

Posted by PAUL A.

The CTG is normal therefore there is no indication for terbutaline. There is tachysystole not hyperstimulation.

difference between uterine tachysystole n hyperstimulation Posted by SHABANA  A.

Dear Paul

Please explain the difference between uterine tachysystole n hyperstimulation.

thanks n regards

SA.