A woman in labor presents with uncoordinated, painful uterine contractions and no cervical progress. Which abnormal uterine action is most likely responsible?
Incoordinate uterine action
Normal labour has coordinated contractions with fundal dominance and good relaxation between contractions, causing progressive cervical dilatation.
In incoordinate uterine action, the normal polarity and fundal dominance are lost: contractions are irregular, uncoordinated and very painful, yet ineffective, so the cervix does not progress.
Hypotonic action gives weak, infrequent, relatively painless contractions; hypertonic action means increased tone and contraction strength, as in a tonic contraction. The described pattern of uncoordinated, painful contractions points to incoordinate action.
Hence, Incoordinate uterine action.
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Important Questions from Midwifery and Obstetrical Nursing
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During infertility assessment, a female is diagnosed with Asherman's syndrome. What is the primary mechanism by which this condition causes infertility?
Which hormone fluctuation is primarily linked to premenstrual syndrome symptoms?
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