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Hypotonic Uterine Dysfunction Overview

This document discusses hypotonic uterine dysfunction, which is characterized by weak and infrequent uterine contractions. It may be caused by factors like advanced maternal age, illness, or overdistension of the uterus. There are two types - primary inertia where contractions are weak from the start, and secondary inertia where contractions weaken after initial good contractions, possibly due to a contracted pelvis. Complications can include prolonged labor, infection, and postpartum hemorrhage. Treatment focuses on rest, medications to induce contractions, and cesarean section if needed due to fetal or maternal distress.

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Melody B. Miguel
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488 views10 pages

Hypotonic Uterine Dysfunction Overview

This document discusses hypotonic uterine dysfunction, which is characterized by weak and infrequent uterine contractions. It may be caused by factors like advanced maternal age, illness, or overdistension of the uterus. There are two types - primary inertia where contractions are weak from the start, and secondary inertia where contractions weaken after initial good contractions, possibly due to a contracted pelvis. Complications can include prolonged labor, infection, and postpartum hemorrhage. Treatment focuses on rest, medications to induce contractions, and cesarean section if needed due to fetal or maternal distress.

Uploaded by

Melody B. Miguel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Hypotonic Uterine Dysfunction

Hypotonic Uterine Dysfunction

• is more common and frequently responds


to oxytocin.
• The contractions are synchronous but
weak or infrequent or both.
• With primary dysfunction, it is
hypothesized that contractions were
never normally established.
ETIOLOGY

• Elderly primigravida
• Anemia or other chronic illnes
• Hypertensive state in pregnancy
• Overdistension of uterus
• Malpresentation and malposition
• Full bladder
• Premature induction of labour
TYPES

• Primary inertia- weak uterine contrations


from the begining

• Secondary inertia- interia developed after


a period of good contraction probably as
the result of contracted pelvis as protective
mechanism .
SIGNS AND SYMPTOMS:

 Patient feels less pain during uterine contraction.

 Palpation reveals less hardening of the uterus.

 Uterine wall is easily indentable at the acme of pain.

 Uterus becomes relaxed after the contraction; fetal


parts are well palpable and fetal heart rate remains
good.
Diagnosis Internal examination reveals:

• Poor dilatation of the cervix


• Membranes usually remain intact
• Cervix well applied to the presenting part
• Associated presence of contracted pelvis,
malposition, deflexed head or
malpresentation may be evident.
COMPLICATIONS:

 Maternal exhaustion

 Prolonged labour

 Infection

 Possibility of Postpartum Haemorrhage due to


atonic uterus.
Fetal Complication

• Fetal distress if
membrane
ruptures early
• Rest
• sedation
• IVF-glucose
• evacuate bladder and rectum
• If membrane rupture- antibiotic
Place of caesarean section:

• Presence of
contracted pelvis
• Malpresentation
• Evidences of fetal or
maternal distress

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