Clinical associations with uterine tachysystole

Samuel Smith, Judy Zacharias, Vicki Lucas, Philip A. Warrick, Emily F. Hamilton

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: To determine the incidence of uterine tachysystole (UT) and its association with neonatal depression or metabolic acidemia (DEP). Methods: This retrospective study comprised all 6234 women at 37 weeks' gestation who were monitored during the last 4 hours of tracings before birth in an academic community hospital. DEP was defined by an umbilical artery base deficit value 10mmol/L or a 5-minute Apgar 6 and included 77 births. UT was defined by >15 contractions in 30 minutes. Results: The overall incidence of UT was 18.3% (1139/6234). In 4.2% (260/6234) UT persisted for >60min. The rate of UT was similar in births with DEP (14.3%, 11/77) compared to those without DEP (18.3%, 1128/6157; p=0.45). In births with UT, only 1.0% (11/1139) developed DEP. The DEP group had more decelerations at almost every level of contractions and a higher cesarean rate of 49.4% (38/77) compared to 24.0% (1468/6124); p=<0.001 in the group without DEP. Conclusions: UT was common, occasionally prolonged and almost always benign. Fetuses with DEP had no more UT than those without DEP. Many babies with DEP declared their vulnerability with decelerations at contraction rates below UT levels and the great majority of them never experienced UT.

Original languageEnglish (US)
Pages (from-to)709-713
Number of pages5
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume27
Issue number7
DOIs
StatePublished - Apr 2014
Externally publishedYes

Keywords

  • Fetal heart rate decelerations
  • Metabolic acidosis
  • Uterine contractions

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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