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Journal articles on the topic 'Uterine Inertia'

Author: Grafiati

Published: 4 June 2021

Last updated: 21 July 2023

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1

Davidson, Autumn P. "Primary Uterine Inertia in Four Labrador Bitches." Journal of the American Animal Hospital Association 47, no. 2 (March 1, 2011): 83–88. http://dx.doi.org/10.5326/jaaha-ms-5122.

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Uterine inertia is a common cause of dystocia in the bitch and is designated as primary (i.e., uterine contractions fail to ever be initiated) or secondary (i.e., uterine contractions cease after a period of time but before labor is completed). The etiology of primary uterine inertia is not well understood. The accurate diagnosis of primary uterine inertia requires the use of tocodynamometry (uterine monitoring). Primary uterine inertia has been postulated to result from a failure of luteolysis resulting in persistently elevated progesterone concentrations. In this study, primary uterine inertia was diagnosed in a series of four bitches in which luteolysis was documented suggesting some other etiopathogenesis for primary uterine inertia.

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2

Raval, R. J., K. B. Vala, K. H. Parmar, and S. H. Talekar. "Surgical Management of Secondary Uterine Inertia in Two Bitches." INDIAN JOURNAL OF VETERINARY SCIENCES AND BIOTECHNOLOGY 15, no. 01 (July 7, 2019): 85–86. http://dx.doi.org/10.21887/ijvsbt.15.1.22.

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Primary or secondary uterine inertia is due to lack of normal physiological uterine contraction during or after parturition. Secondary uterine inertia is commonly observed in bovine, however, it is comparatively less reported in canine. In certain breeds of dog such as the Scotch terrier or Dachshund secondary uterine inertia may occur spontaneously early in the second stage of parturition. Usually, one or two fetuses are expelled normally and then labor ceases even though more fetuses are present in the uterus (Roberts, 1982). The present report places on record the difficult whelping due to secondary uterine inertia and its radiographic diagnosis and successful surgical management in 2 bitches.

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3

Mujur, Adryani. "Identification of Maternity Mothers with Uterine Inertia at the Kendari City Regional General Hospital." Indonesian Journal of Contemporary Multidisciplinary Research 2, no. 2 (March 30, 2023): 253–60. http://dx.doi.org/10.55927/modern.v2i2.3223.

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Uterine inertia is a uterine abnormality in which there is insufficient strength to open the cervix or push the fetus out. The causes of uterine inertia are his abnormalities, emotional factors and strength, misdirected labor, abnormal location of the CPD, disturbances in the formation of the uterus during the embryonic period, wrong administration of oxytocin and sedative drugs, excessive stretching of the uterus in multiple pregnancies or hydramnios, and postmature pregnancy. The effects of uterine inertia are prolonged labor, exhaustion, dehydration, and intrapartum infections. To Identify Maternity Mothers With Inertia Uteri at the General Hospital of Kendari City. This type of research implemented in June 2022 at General Hospital Kendari city. the study population was all women with maternal inertia in General Hospital kendari city with a total of 37 ceses. the sampling technique is total sampling.the type of data is quantitative data the data source of research is secondary data. The mother's age, 27 cases occurred at the age of 20-35 years and a few cases occurred at the age of > 35 because of 8 cases. for maternal parity, there was a lot of parity I as many as 14 cases and a few cases in > IV parity of 5 cases. for maternal education, it mostly occurred in SMP as many as 15 cases and a little occurred in DIII / SI as many as 3 cases. for maternal occupation, it occurred mostly in IRT as many as 26 cases and a little occurred in self-employed as many as 3 cases

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4

Bawaskar, M. S., S. K. Sahatpure, M. S. Patil, S. V. Upadhye, S. B. Akhare, and D. V. Patil. "Therapeutic Management of Uterine Inertia in Bitches." Indian Journal of Canine Practice 9, no. 2 (December 1, 2017): 131. http://dx.doi.org/10.29005/ijcp.2017.9.2.131-133.

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5

Savitri, Dina Ayu, Yonas Hadisybroto, and Pipiet Wulandari. "The Difference Incidence of Maternal Uterine Inertia Between Labor With and Without Anemia in Hospital of dr. Soebandi Jember." Journal of Agromedicine and Medical Sciences 5, no. 3 (September 19, 2019): 172. http://dx.doi.org/10.19184/ams.v5i3.9514.

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One of the indirect causes of maternal death is anemia. Anemia in pregnancy is a woman with a hemoglobin level below 11 g / dl caused by iron deficiency in pregnant women so that the hemoglobin level becomes low and cannot meet the need for oxygen to perfusion to the tissues. This consumes energy in the affected muscles and buildup of lactic acid which causes fatigue and reduced muscle contraction during labor. Inadequate uterine contractions are called uterine inertia and are characterized by a prolonged phase of labor, which is weak, rarely and short duration. The purpose of this study was to determine the differences in the incidence of uterine inertia between labor and anemia released in RSD dr. Soebandi Jember. This study was analytic observational with a cross sectional research design. The study population was all pregnant women who had improved labor and were included in the medical record at RSD Dr. Soebandi Jember period January 1, 2017 - December 31, 2017. Samples from this study were mothers who had approved the delivery and fulfilled the inclusion and exclusion criteria that had been determined until the number of samples could be fulfilled. The number of samples in this study were 76 samples. The type of data used in this study is secondary data obtained by researchers from the medical records of pregnant women who have received labor. The data included in this study contain demographic data consisting of the age of pregnant women and parity, clinical data in the form of uterine inertia and laboratory data consisting of anemia status. In analyzing the data with Chi Square test (X²), a significance value of 0.011 was obtained so that it can be concluded that Ho is rejected and Ha is accepted which means that the incidence of uterine inertia between free labor and anemia is not important in RSD Dr. Soebandi Jember. Keywords: anemia, uterine inertia, pregnancy, age, parity.

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6

Ventoskovskiy, B. M., and A. V. Popov. "Homœopathy as a practical alternative to traditional obstetric methods." British Homeopathic Journal 79, no. 04 (October 1990): 201–5. http://dx.doi.org/10.1016/s0007-0785(05)80452-1.

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AbstractA clinical trial was carried out to determine the efficacy of predelivery homœopathic and ‘traditional’ prophylaxis of uterine inertia and post partum haemorrhage. Under our observation, there were 206 pregnant women characterized by high risk of uterine contractile function disturbances. The 1st group of pregnant women (n=102) received only homœopathy. The 2nd group (n=104) received conventional medical preparations including oestrogenic hormones. We studied a use of homœopathic drug complex possessing ‘relatively narrow range of influence’.Clinical examination, foetal cardiomonitoring and ultrasound scanning were carried out in each case. The normal methods were used to treat uterine inertia, foetal distress and post partum haemorrhage.In our opinion homœopathy can be an effective method for prophylaxis of disturbances of uterine contractile function in delivery and at the postnatal stage for pregnant women at high risk of complications.

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7

Prashantkumar, A. Krishnaswamy, T. G. Honnappa, V. C. Murthy, M. Narayana Bhat, and L. Rangnath. "BIOCHEMICAL CHANGES IN PRIMARY UTERINE INERTIA IN BITCHES." Indian Journal of Canine Practice 10, no. 1 (June 1, 2018): 029. http://dx.doi.org/10.29005/ijcp.2018.10.1.029-033.

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8

Bergström, A., B. Fransson, A. S. Lagerstedt, H. Kindahl, Ulf Olsson, and K. Olsson. "Hormonal concentrations in bitches with primary uterine inertia." Theriogenology 73, no. 8 (May 2010): 1068–75. http://dx.doi.org/10.1016/j.theriogenology.2010.01.006.

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9

Kolagani, Hima Bindu, Chandra Prasad Borra, and Srinivas Manda. "Dystocia Due to Secondary Uterine Inertia and its Obstetrical Management- A Case Report." SSR Institute of International Journal of Life Sciences 9, no. 1 (January 2023): 3136–40. http://dx.doi.org/10.21276/ssr-iijls.2023.9.1.1.

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10

Li, Pin, Lele Wang, Xueya Qian, Abraham Morse, Robert E. Garfield, and Huishu Liu. "A study of uterine inertia on the spontaneous of labor using uterine electromyography." Taiwanese Journal of Obstetrics and Gynecology 60, no. 3 (May 2021): 449–53. http://dx.doi.org/10.1016/j.tjog.2021.03.010.

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11

TAURA, Yasuho, Ryuichi MASUYAMA, Tadashi MIYAMOTO, Makoto YOSHITAKE, Michio NOGUCHI, Masahiro YASUDA, Tomoaki MURATA, et al. "Clinical effects of Carbetocin on uterine inertia of swine." Nihon Yoton Gakkaishi 29, no. 4 (1992): 200–204. http://dx.doi.org/10.5938/youton.29.200.

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12

Bawaskar, M. S., S. K. Sahatpure, M. S. Patil, S. V. Upadhye, S. B. Akhare, and D. V. Patil. "Incidence of Uterine Inertia in Bitches of Nagpur City." Indian Journal of Canine Practice 9, no. 2 (December 1, 2017): 127. http://dx.doi.org/10.29005/ijcp.2017.9.2.127-130.

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13

Kumar, M. Navin, and Md Vikaruddin Ali Akbar. "A case of uterine inertia in Jaguar (Panthera onca)." Zoos' Print Journal 16, no. 5 (April 21, 2001): 502. http://dx.doi.org/10.11609/jott.zpj.16.5.502.

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14

Bergstrom, A., B. Fransson, A. S. Lagerstedt, and K. Olsson. "Primary uterine inertia in 27 bitches: aetiology and treatment." Journal of Small Animal Practice 47, no. 8 (August 2006): 456–60. http://dx.doi.org/10.1111/j.1748-5827.2006.00071.x.

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15

Rempel, Lea Magdalena, Karina Tietgen Andresen Lillevang, Ann-Kirstine thor Straten, Sólrún Barbara Friðriksdóttir, Hanna Körber, Axel Wehrend, Mariusz P. Kowalewski, Iris Margaret Reichler, Orsolya Balogh, and Sandra Goericke-Pesch. "Do uterine PTGS2, PGFS, and PTGFR expression play a role in canine uterine inertia?" Cell and Tissue Research 385, no. 1 (April 8, 2021): 251–64. http://dx.doi.org/10.1007/s00441-021-03427-6.

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AbstractThe aetiology of primary uterine inertia (PUI), which is the most common cause of canine dystocia, is still not elucidated. Prostaglandins (PGs) play a crucial role in parturition. We hypothesized that the expression of prostaglandin endoperoxidase synthase 2 (PTGS2), PGF2α synthase (PGFS), and corresponding receptor (PTGFR) is altered in PUI. We investigated PTGS2, PGFS, and PTGFR mRNA expression, and PTGS2 and PGFS protein expression in interplacental (IP) and uteroplacental sites (UP) in bitches with PUI, obstructive dystocia (OD), and prepartum (PC). PTGS2, PGFS, and PTGFR mRNA expression did not differ significantly between PUI and OD (IP/UP). PTGFR ratio in UP was higher in PC than in OD (p = 0.014). PTGS2 immunopositivity was noted in foetal trophoblasts, luminal and superficial glandular epithelial cells, smooth muscle cells of both myometrial layers, and weakly and sporadically in deep uterine glands. PGFS was localized in luminal epithelial cells and in the epithelium of superficial uterine glands. PTGS2 and PGFS staining was similar between PUI and OD, while PGFS protein expression differed between OD and PC (p = 0.0215). For PTGS2, the longitudinal myometrial layer of IP stained significantly stronger than the circular layer, independent of groups. These results do not support a role for PTGS2, PGFS, and PTGFR in PUI. Reduced PGFS expression in IP during parturition compared with PC and the overall lack of placental PGFS expression confirm that PGFS is not the main source of prepartal PGF2alpha increase. The difference in PTGS2 expression between IP myometrial layers warrants further investigation into its physiological relevance.

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16

Humm, Karen R., Sophie E. Adamantos, Livia Benigni, Elizabeth A. Armitage-Chan, Daniel J. Brockman, and Daniel L. Chan. "Uterine Rupture and Septic Peritonitis Following Dystocia and Assisted Delivery in a Great Dane Bitch." Journal of the American Animal Hospital Association 46, no. 5 (September 1, 2010): 353–57. http://dx.doi.org/10.5326/0460353.

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A Great Dane bitch was treated for presumed primary uterine inertia with repeated doses of oxytocin and manually assisted whelping. She was diagnosed with uterine rupture and septic peritonitis the following day. The uterine rupture is hypothesized to have occurred as a result of the management strategy used to treat dystocia. The dog underwent ovariohysterectomy, and the septic peritonitis was managed with open peritoneal drainage. The dog recovered well and was discharged 5 days later. No previous reports of canine uterine rupture associated with manual intervention appear to have been published. This report highlights the potential dangers involved in such an approach.

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17

Singh, Bharti, Shweta Patel, and Anusha Devalla. "Correspondence to “A study of uterine inertia on the spontaneous of labour using uterine electromyography”." Taiwanese Journal of Obstetrics and Gynecology 61, no. 3 (May 2022): 570. http://dx.doi.org/10.1016/j.tjog.2022.03.035.

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18

Prashantkumar, A. Krishnaswamy, T. G. Honnappa, V. C. Murthy, M. Narayana Bhat, and L. Rangnath. "TOCODYNAMOMETRIC STUDY IN CASES OF PRIMARY UTERINE INERTIA IN DOGS." Indian Journal of Canine Practice 11, no. 1 (June 1, 2019): 038. http://dx.doi.org/10.29005/ijcp.2019.11.1.038-041.

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19

Mochalova, Marina N., Lyubov A. Kuzmina, Anastasia Yu Mironenko, Igor B. Likhanov, and Viktor A. Mudrov. "Complete asymptomatic fundal rupture of the uterus in the first stage of labor." Journal of obstetrics and women's diseases 69, no. 2 (June 21, 2020): 83–88. http://dx.doi.org/10.17816/jowd69283-88.

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A clinical case of a complete fundal rupture of the uterus at the first stage of labor of a woman with a uterine scar from a previous cesarean section in the lower uterine segment is addressed in this article. During clinical observation, the patient did not have hemorrhagic and pain syndromes. Operative delivery was performed due to primary uterine inertia. A newborn did not show any signs of asphyxia. During the operation, a rounded defect of 4 5 cm in size, penetrating the uterine cavity, was detected in the uterine fundus. It was sutured with a triple-row suture. The area of the lower segment was thinned to 2 mm, with deformation and defects not detected. In the postpartum period, subinvolution of the uterus was noted. The patient was discharged from hospital in satisfactory condition on the 10th day of the postpartum period.

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20

A, Nekibuddin, Manav S, Prasant K.B, and Sampurna N.Y. "Management of secondary uterine inertia in a rabbit doe (Oryctolagus cuniculus)." JIVA 20, no. 3 (December 8, 2022): 123–26. http://dx.doi.org/10.55296/jiva/20.3.2022.123-126.

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21

Busse, Nicolas I., and Benjamin Uberti. "Uterine Inertia due to Severe Selenium Deficiency in a Parturient Mare." Journal of Equine Veterinary Science 85 (February 2020): 102845. http://dx.doi.org/10.1016/j.jevs.2019.102845.

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22

Kathiravan, R. S., A. Varun, K. Senthil Kumar, and D. Balasubramanyam. "Dystocia due to secondary uterine inertia in large white Yorkshire sow." Journal of Krishi Vigyan 11, si (2022): 106–8. http://dx.doi.org/10.5958/2349-4433.2022.00084.8.

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23

Kuzminykh, Tatyana U., Vera Yu Borisova, Igor P. Nikolayenkov, Georgy R. Kozonov, and Gulrukhsor Kh Tolibova. "Role of biologically active molecules in uterine contractile activity." Journal of obstetrics and women's diseases 68, no. 1 (March 20, 2019): 21–27. http://dx.doi.org/10.17816/jowd68121-27.

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Hypothesis/aims of study. Myometrial relaxation and contraction require synchronous cellular interactions. At present, it has been established that the coordination of myometrial contractile activity is carried out by a conduction system constructed from gap junctions with intercellular channels. There are no clinical data on inhibiting (nitric oxide synthase) and activating (connexin-43) factors of uterine contractile activity in the myometrium during pregnancy and parturition in the published literature. This study was undertaken to measure the expression levels of nitric oxide synthase, adhesion molecules CD51, CD61, and connexin-43 in the myometrium during pregnancy and parturition; and to assess the role of inhibitory and activating factors in the development of uterine contractile activity. Study design, materials and methods. An immunohistochemical study of myometrial biopsy specimens obtained from the lower uterus segment during cesarean section was performed in eight women with a full-term physiological pregnancy, in another eight individuals in the active phase of uncomplicated parturition, and in eight patients with uterine inertia. Integrins (CD51 and CD61 proteins) were used as markers of cell adhesion. Localization and the number of intercellular contacts were assessed by measuring the expression level of connexin-43, with the intensity of oxidative processes assessed by nitric oxide synthase activity. Results. In the myometrium, in the active phase of physiological parturition, a three-fold increase in the expression of activating (CD51, CD61, and connexin-43) factors of uterine contractile activity and a five-fold decrease in that of inhibitory (nitric oxide synthase) ones occur compared to those in full-term physiological pregnancy. Conclusion. In the pathogenesis of uterine inertia and resistance to labor induction, an important role is played by the decreased expression of adhesion molecules (CD51, CD61) and connexin-43 and the increased expression of nitric oxide synthase in the myometrium.

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24

Mudrov, V. A., A. V. Yakimova, and A. M. Ziganshin. "Optimisation of the delivery method for women in development of abnormalities of labour." Siberian Medical Review 3, no. 2022 (2022): 49–56. http://dx.doi.org/10.20333/25000136-2022-3-49-56.

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The aim of the research. To develop a means that would optimise the method of delivery for women with development of abnormalities of labour. Material and methods. Retrospective analysis of 186 cases of labour was carried out at the premises of the perinatal centre of the Regional Clinical Hospital in Chita in 2018-2021. The total sample was divided into 5 study groups: group 1 included 33 women with primary uterine inertia; group 2 included 16 women with secondary uterine inertia, group 3 included 32 women with discoordinated labour activity, group 4 included 55 women with excessive uterine activity, group 5 included 50 women with abnormal uterine contractile activity which arose against the background of the clinical narrow pelvis. All women on the eve of labour (1-2 days) underwent general and special obstetric examination. The groups were comparable in nationality, age, financial and social conditions of the women, their gestational age, frequency of genital and extragenital pathology as well as the main pathology of pregnancy. Statistical processing of the results was carried out using the IBM SPSS Statistics Version 25.0 program. Results. Optimisation of the delivery method for patients with abnormal labour was implemented on the basis of multilayer perceptron, the percentage of incorrect predictions in the learning process of which was 2.4%. The structure of the trained neural network included 14 input neurons: gestational age, labour parity, the woman’s height, uterine fundus height, presence / absence of fetal growth retardation or macrosomia, oligohydramnios, prelabour rupture of amniotic membranes and the posterior view of the foetus’s occipital presentation. Conclusion. An integrated approach based on implementation of universally available methods of objective and instrumental research on the eve of labour makes it possible to choose the correct method of delivery for patients with abnormalities of labour with an accuracy of 96.2%.

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25

GRUNERT, E., and Ph SARATSIS (Φ. ΣΑΡΑΤΣΗΣ). "Treatment of retention of fetal membranes in cattle." Journal of the Hellenic Veterinary Medical Society 49, no. 2 (January 31, 2018): 104. http://dx.doi.org/10.12681/jhvms.15755.

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The method of treating retention of fetal membranes in cattle depends mainly on etiology. Detachment of the fetal membranes by infusing calcium preparations or administering drugs promoting uterine contractions is effective only in cases due to uterine inertia. Alternatively, it is possible to control retention administrations of broad spectrum antibiotics in adequate dosages, so as to ensure the establishment of a new pregnancy with minimum loss of time. In the rare event of retention due to premature closure of omphalic vessels or to overipe placentomes, it is necessary to take the required therapeutic and precautionary measures.

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26

Talukdar, Dibyajyoti, Tukheswar Chutia, Bedanga Knowar, Fazal Ahmed, and Gunjan Das. "Management of Incomplete Uterine Inertia in a Labrador Bitch - A Case Report." International Journal of Livestock Research 6, no. 9 (2016): 79. http://dx.doi.org/10.5455/ijlr.20160901075038.

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27

Rempel, Lea Magdalena, Hanna Körber, Iris M. Reichler, Orsolya Balogh, and Sandra Goericke-Pesch. "Investigations on the potential role of prostaglandin E2 in canine uterine inertia." Theriogenology 175 (November 2021): 134–47. http://dx.doi.org/10.1016/j.theriogenology.2021.09.003.

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28

Dwi A, Wahyu, Eni Rumiyati, and Megayana Yessy M. "Pelatihan Penatalaksanaan Management Nyeri Bersalin Pada Ibu Hamil di PMB Elisabeth Banyuanyar." INDONESIAN JOURNAL OF COMMUNITY EMPOWERMENT (IJCE) 3, no. 1 (May 27, 2021): 48. http://dx.doi.org/10.35473/ijce.v3i1.979.

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Labor pain is a physiological response. Untreated labor pain leads to catecholamines which interfere with uterine contractions causing uterine inertia, prolonged labor, inadequate oxygenation in the fetus to fetal distress, and death of the mother and/or the fetus. Pain is often described as a feeling of pressure and suffering. Overcoming labor pain should be considered by health workers in assisting with childbirth. There are many methods to manage pain both pharmacologically and non-pharmacologically. Therefore, it is crucial to managing pain for the mother during childbirth. The implementation method in community service provided health education and demonstrations on how to deal with labor pains. In post-health education about the management of maternity pain in pregnant women at PMB Elisabeth, 85% of pregnant women have a description of overwhelming labor pain and have plans to reduce pain during childbirth.AbstrakNyeri pada persalinan merupakan respon fisiologis tetapi dapat mengakibatkan peningkatan katekolamin yang berakibat mengganggu kontraksi uterus sehingga dapat menyebabkan inersia uteri, partus lama, oksigenasi pada janin tidak adekuat hingga distress janin, serta kematian ibu dan atau janin apabila nyeri persalinan tidak ditangani. Nyeri sering digambarkan sebagai rasa tertekan dan penderitaan. Mengatasi nyeri persalinan patut dipertimbangkan tenaga kesehatan dalam membantu persalinan. Banyak metode untuk mengatasi nyeri baik famakologis maupun non farmakologis.Oleh karena itu penting penanganan nyeri bagi ibu selama persalinan. Metode pelaksanaan pengabdian masyarakat ini adalah dengan cara memberikan pendidikan kesehatan dan demonstrasi mengenai cara mengatasi nyeri bersalin. Setelah dilakukan pendidikan kesehatan mengenai management nyeri bersalin pada ibu ibu hamil di PMB Elisabeth 85% ibu hamil mempunyai gambaran mengatasi nyeri bersalin dan ibu hamil sudah mempunyai rencana untuk mengurangi nyeri saat bersalin nanti.

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29

Eriso Blate, Moges. "Major Causes of Dystocia in Bovine: A Review." Advance Research in Sciences (ARS) 1, no. 1 (March 27, 2023): 1–3. http://dx.doi.org/10.54026/ars/1005.

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The inability of the cow to expel neonates through the birth canal from the uterus is called dystocia. There are several physical, physiological and hormonal changes take place to prepare the dam and fetus for parturition. It is one of the most important obstetrical conditions and requires immediate attention of obstetricians as it causes severe economic losses to dairy farmers. The causes of dystocia are generally classified as being maternal or fetal in origin. Maternal causes include feto-maternal disproportion, incomplete cervical dilation, uterine torsion, uterine inertia and hernia of gravid uterus, and fetal causes are fetal maldisposition, fetal oversize and fetal monstrosities. Dystocia negatively affects the productive and reproductive performance due to increased risk for uterine diseases. As one of the reproductive problems in cows, it is important to prevent and reduce the incidence of dystocia and awareness on the significance of dystocia should be enhanced, which necessitate presenting the current literature review on dystocia.

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30

Jungmann, Carolin, Caroline Gauguin Houghton, Frederik Goth Nielsen, Eva-Maria Packeiser, Hanna Körber, Iris M. Reichler, Orsolya Balogh, and Sandra Goericke-Pesch. "Involvement of Oxytocin and Progesterone Receptor Expression in the Etiology of Canine Uterine Inertia." International Journal of Molecular Sciences 23, no. 21 (November 6, 2022): 13601. http://dx.doi.org/10.3390/ijms232113601.

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An altered oxytocin and progesterone receptor (OXTR and PGR, respectively) expression was postulated in canine uterine inertia (UI), which is the lack of functional myometrial contractions. OXTR and PGR expressions were compared in uterine tissue obtained during C-section due to primary UI (PUI; n = 12) and obstructive dystocia (OD, n = 8). In PUI, the influence of litter size was studied (small/normal/large litter: PUI-S/N/L: n = 5/4/3). Staining intensity in immunohistochemistry was scored for the longitudinal and circular myometrial layer and summarized per dog (IP-Myoscore). Mean P4 did not differ significantly between PUI (n = 9) and OD (n = 7). OXTR and PGR expressions (ratios) were significantly higher in PUI (OXTR: p = 0.0019; PGR: p = 0.0339), also for OXTR in PUI-N versus OD (p = 0.0034). A trend for a higher PGR IP-Myoscore was identified (PUI-N vs. OD, p = 0.0626) as well as an influence of litter size (lowest PGR-Myoscore in PUI-L, p = 0.0391). In conclusion, PUI was not related to higher P4, but potentially increased PGR availability compared to OD. It remains to be clarified whether OXTR is upregulated in PUI due to a counterregulatory mechanism to overcome myometrial quiescence or downregulated in OD due to physiological slow OXTR desensitization associated with an advanced duration of labor. Identified OXTR differences between myometrial layers indicate the need for further research.

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31

Rahayu, Rahayu. "OBESITY AS A RISK FACTOR FOR SURGICAL SITE INFECTION AFTER TRANSPERITONEAL CESAREAN SECTION." Sains Medika : Jurnal Kedokteran dan Kesehatan 9, no. 1 (November 11, 2018): 46. http://dx.doi.org/10.30659/sainsmed.v9i1.1594.

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Surgical site infection (SSI) is one of the main complications that can increase morbidity and mortality in obese women after cesarean section. Surgical site infection can be caused by endogenous or exogenous factors. This was a case of a woman, G4P3A0, 32 years, after trans-peritoneal cesarean section for indications of breech presentation; primary uterine inertia; premature rupture + 22 hours with BMI = 30.80 kg/m2. This case report discusses how obesity causes surgical site infection and its management.

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32

Bettikher, Ofelia A., Irina E. Zazerskaya, Polina V. Popova, and Vitaliy N. Kustarov. "A comparison of the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes." Diabetes mellitus 19, no. 2 (April 4, 2016): 158–63. http://dx.doi.org/10.14341/dm2004130-33.

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Aim. To evaluate the clinical outcomes of induced and spontaneous labour in patients with gestational diabetes (GD).Materials and methods. This retrospective cohort study conducted at the Federal Almazov Northwest Medical Research Centre included 251 patients with GD who had given birth during 2014. The patients were divided into the following two groups: one included 210 patients who were treated with diet and the other included 41 patients who were treated with insulin. Clinical outcomes were compared between patients who had induced (n = 43) or spontaneous (n = 188) labour.Results. Complications of labour, such as dysthyroidism and uterine inertia, were significantly more common (p 0. 05) in induced labour patients than in those who had spontaneous labour (16. 3 vs. 3. 2% and 7% vs. 0%, respectively). Fetal distress occurred in 10. 6% and 9. 3% of patients during spontaneous and induced labour, respectively. The frequency of ceasarean section after induced labour was not significantly greater than that among patients who had spontaneous labour.Conclusion. Delivery at 38 to 39 weeks in women with GD has led to an increase in the rate of birth complications, such as uterine inertia and dysthyroidism. Gestational age cannot be considered as a sufficient indicator of labour induction at full-term in the absence of foetus distress or poor maternal glycemic control.

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AHMED, N., M. SHARMA, S. N. YADAV, B. K. SARMA, R. DEVI, P. THAKURIA, and A. J. NATH. "Assisted delivery method in managing partial primary uterine inertia in a German Shepherd bitch." Indian Journal of Animal Health 59, no. 2 (December 1, 2020): 212–14. http://dx.doi.org/10.36062/ijah.59.2.2020.212-214.

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Rao, Ch, Podarala Veena, Mandagiri Saibaba, Nekkanti Dhanalakshmi, MSSV Phaneendra, and Kasa Reddy. "Dystocia Due to Uterine Inertia in a Queen Cat and Its Surgical Management Samples." International Journal of Livestock Research 5, no. 3 (2015): 146. http://dx.doi.org/10.5455/ijlr.20150306121127.

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Wang, Li, Zhongfang Wei, Jie Li, Shuqin Li, Lian Zhu, and Feng Liu. "CLINICAL EFFECT OF HEMABATE IN PREVENTING AND TREATING POSTPARTUM HEMORRHAGE CAUSED BY UTERINE INERTIA." International Journal of Advanced Research 6, no. 11 (October 31, 2018): 138–42. http://dx.doi.org/10.21474/ijar01/7980.

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Konovalov, P. V., L. B. Mitrofanova, A. N. Gorshkov, and F. A. Ovsyannikov. "Morphological features of the myometrium in connective tissue dysplasia in women with uterine inertia." Arkhiv patologii 77, no. 5 (2015): 18. http://dx.doi.org/10.17116/patol201577518-25.

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Egloff, S., I. M. Reichler, M. P. Kowalewski, S. Keller, S. Goericke-Pesch, and O. Balogh. "Uterine expression of smooth muscle alpha- and gamma-actin and smooth muscle myosin in bitches diagnosed with uterine inertia and obstructive dystocia." Theriogenology 156 (October 2020): 162–70. http://dx.doi.org/10.1016/j.theriogenology.2020.06.033.

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Bawaskar, M. S., S. K. Sahatpure, S. V. Upadhye, M. S. Patil, G. R. Bhojne, and S. S. Bawaskar. "COMPARATIVE INFLUENCE OF ANTENATAL FOETAL PRESENTATION POSITION AND POSTURE ON SIXTY PRIMARY UTERINE INERTIA BITCHES." Indian Journal of Canine Practice 10, no. 2 (December 1, 2018): 131. http://dx.doi.org/10.29005/ijcp.2018.10.2.131-133.

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Bawaskar, Meenakshi S., S. K. Sahatpure, D. S. Raghuwanshi, and M. S. Patil. "RETROSPECTIVE STUDY OF WHELPING SYMPTOMS AND MATERNAL CHANGES IN SIXTY UTERINE INERTIA CASES IN CANINES." Indian Journal of Canine Practice 15, no. 1 (June 1, 2023): 026–30. http://dx.doi.org/10.29005/ijcp.2023.15.1.026-030.

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Kodie, D. O., C. O. Oguntoye, N. S. Oyetayo, and O. D. Eyarefe. "Unilateral uterine torsion with a near-complete rip of the affected right horn in a parturient German shepherd bitch." Sokoto Journal of Veterinary Sciences 18, no. 2 (September 9, 2020): 108–13. http://dx.doi.org/10.4314/sokjvs.v18i2.8.

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Intra-parturient uterine torsion is a rare condition in bitches with multifactorial aetiologies. It is a cause of obstructive dystocia and is difficult to diagnose with most imaging techniques. Medical management of dystocia in parturient bitches with oxytocin often result in uterine rupture with severe consequences on maternal and foetal health. A three-year-old German shepherd (31kg) bitch presented to the Veterinary Teaching Hospital (VTH), University of Ibadan, Oyo State, Nigeria was diagnosed, after a caesarean section, with intra-parturient right horn torsion (180-degrees intracornual and 360-degrees at the ovarian end) and a near-complete rip of the affected horn from the uterine body. Before presentation, the bitch was said to have whelped three puppies but discontinued apparently due to perceived uterine inertia even when injected with three doses of oxytocin by a caregiver. The bitch’s vital signs were abnormal and reflected signs of progressive shock. Haemogram showed severe anaemia, moderate neutrophilia with left shift, normal plasma protein level and platelet counts. An ultrasound examination revealed the presence of two foetuses in-utero but un-engaged at the bitch’s birth canal. Following patient’s stabilisation, a caesarean section unveiled an empty, involuting, left uterine horn, a 180 degrees intracornual twist of the right horn (separating the foetuses into two closed compartments) and a 360 degrees torsion at the ovarian end, which severely strangulated the vessels and ligament. The affected horn, vessels, and ligament were congested. The gravid horn was nearly ripped from the uterine body at the bifurcation. The torsion was corrected, foetuses evacuated and a hemi-cornuectomy performed. The bitch’s recovery was uneventful. The diagnosis and management of obstructive dystocia is a challenge, especially in poor resource settings. The option of surgical intervention should be considered as an emergency by both pet owners and clinicians to preclude further complications, including those caused by oxytocin. Keywords: Hemi-cornuectomy, Intra-parturient, Oxytocin, Torsion, Uterine

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Frehner, BL, IM Reichler, S. Keller, S. Goericke-Pesch, and O. Balogh. "Blood calcium, glucose and haematology profiles of parturient bitches diagnosed with uterine inertia or obstructive dystocia." Reproduction in Domestic Animals 53, no. 3 (March 14, 2018): 680–87. http://dx.doi.org/10.1111/rda.13157.

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Adinma, J. I. Brian, and Andy O. Agbai. "The Second Twin: Retained and Unretained." Tropical Doctor 25, no. 3 (July 1995): 132–33. http://dx.doi.org/10.1177/004947559502500316.

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In this comparative review of retained and unretained second twins, the commonest causes of retention of the second twins were found to be uterine inertia (48.4%) and obstruction from malpresentation and malposition (32.3%). The pair-presentation most likely to be retained was vertex/transverse. Apgar scores were lower for retained than unretained second twins. The perinatal mortality rate was significantly higher for the retained second twins (258/1000) compared to the unretained second twins (60.2/1000) ( P < 0.002). Early recognition of twin pregnancies in which the 2nd twin is more likely to be retained, and prompt application of appropriate remedial measures would reduce the incidence of retention of the second twin.

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FREHNER, Bianca Lourdes, Iris Margaret REICHLER, Mariusz Pawel KOWALEWSKI, Aykut GRAM, Stefanie KELLER, Sandra GOERICKE-PESCH, and Orsolya BALOGH. "Implications of the RhoA/Rho associated kinase pathway and leptin in primary uterine inertia in the dog." Journal of Reproduction and Development 67, no. 3 (2021): 207–15. http://dx.doi.org/10.1262/jrd.2020-141.

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Nesterov, V. F., L. A. Pestryaeva, V. V. Kovalev, E. A. Nigmatova, and N. M. Milyaeva. "Evaluation of protein metabolism and activity of cellular energy metabolism enzymes in primary uterine inertia in primiparas." Rossiiskii vestnik akushera-ginekologa 15, no. 1 (2015): 9. http://dx.doi.org/10.17116/rosakush20151519-12.

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Lago-Alvarez, Yamilka, Hailey Rose, Denae Campanale, Ian Porter, Kenneth Simpson, Soon Hon Cheong, and Mariana Diel de Amorim. "Thromboembolic disorder in a dog after cesarean surgery." Clinical Theriogenology 14, no. 2 (June 1, 2022): 106–9. http://dx.doi.org/10.58292/ct.v14.9286.

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A 3-year female dog (intact primiparous) overweight Labrador Retriever was presented as an emergency (fever, lethargy, and anorexia)patient. Four days earlier, this dog had a dystocia (secondary uterine inertia with stillborn fetus) that was relieved via cesareansurgery. Disseminated intravascular coagulation panel indicated marked increases in D-dimers, increases in partial prothrombintime, and decreases in antithrombin III activity. Abdominal ultrasonography revealed a severely mottled spleen with multifocalinfarction. Arterial blood gas analysis indicated increases in alveolar-arterial oxygen gradient. Pulmonary thromboembolism wassuspected. Based on the history (peripartum obesity and cesarean delivery) and clinical manifestation, it was hypothesized that thepregnancy-related hypercoagulable state and postpartum period led to the development of venous thromboembolism. To authors’knowledge, this is the first case report of a suspected thromboembolic disorder in a postcesarean dog.

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Rana, Bindra Bharatsinh, and Bhavesh B. Airao. "Fetal outcome and mode of delivery in a patient with meconium-stained amniotic fluid." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 11, no. 11 (October 28, 2022): 3049. http://dx.doi.org/10.18203/2320-1770.ijrcog20222794.

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Background: Meconium-stained amniotic fluid (MSAF), especially observed before term, is considered a sign of meconium fetal jeopardy.Methods: All data were retrieved from pregnant patients with MSAF who delivered at OBGY department of C. U. Shah medical college and hospital from February 2022 to July 2022.Results: In this study meconium-stained liquor was more common in primigravida within the age group of 21-30 years of age with moderate type of meconium being more common.Conclusions: In this study we concluded that meconium-stained liquor more commonly seen in primigravida which have associated risk factors like preeclampsia, malposition, prolonged labour and abnormal uterine inertia. It was also reconfirmed that MSAF is associated with a new-born risk, especially meconium aspiration syndrome. Patients had a higher rate for emergent caesarean section and baby admission to NICU. These data may be useful to make health/reproductive-health progress in area.

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Mayadeo, N., A. Gangadhar, and Srirupa Das. "Camylofin in the management of prolonged labor: a review of evidence." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 3 (February 19, 2017): 776. http://dx.doi.org/10.18203/2320-1770.ijrcog20170545.

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Prolonged labor can lead to increased maternal and neonatal morbidity and mortality. Hence, it warrants an early detection and appropriate clinical management. Active management of labor has shown to decrease the occurrence of prolonged labor. Administering antispasmodics during labor facilitates a faster and more effective dilatation of the cervix. Hence, antispasmodics can be used to decrease the incidence of prolonged labor. Camylofin, a potent antispasmodic, with a dual mode of action, has been used in the augmentation of labor for more than six decades. There is a growing body of evidence to support the efficacy and tolerability of Camylofin in the active management of labor. A review of published evidence suggests that Camylofin has superior efficacy in augmentation of labor on multiple counts like rate of cervical dilation, duration of active phase of first stage of labor and induction delivery interval, when compared to other spasmolytics like drotaverine, hyoscine and valethemate. It also has a benefit of a convenient single dose as compared to the other spasmolytics listed earlier. Camylofin has other advantages like a quick onset of action, prolonged action, no adverse effects on uterine contractility, no contraindication for use in uterine inertia cases and overall good tolerability for both mother and fetus. Given the superior efficacy and benefits that this drug exhibits, coupled with its excellent tolerability profile, Camylofin should be the first choice and may be preferred over other drugs for cervical dilatation and acceleration of active phase of labor.

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MARTINS-BESSA, A., L. CARDOSO, T. COSTA, R. MOTA, A. ROCHA, and L. MONTENEGRO. "Reproductive emergencies in the bitch: a retrospective study." Journal of the Hellenic Veterinary Medical Society 66, no. 4 (January 31, 2018): 231. http://dx.doi.org/10.12681/jhvms.15867.

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This study aimed at analyzing reproductive emergencies (RE) in bitches brought in to a general veterinary hospital during a 24 month-period; evaluating their clinical-epidemiological features; and assessing the results of applied therapy. RE accounted for 11.8% of all female dog emergency clinical cases. Pyometra and dystocia accounted for 56.0% and 32% of the RE, with three (Newfoundland, Siberian Husky, Chow-Chow) and nine breeds (Boston Terrier, French Bulldog, Bernese Mountain Dog, Yorkshire Terrier, St. Bernard, Maltese, Chihuahua, Doberman and Boxer) found at higher risk of pyometra and dystocia, respectively. Fifty-four (96.4%) cases of pyometra were surgically managed, with a mortality of 13.0%. Primary uterine inertia (19 cases) was the main cause (59.4%) of dystocia. Medical treatment was attempted in 23 cases of dystocia (71.9%) but found to be effective in only two of them, leading to a high percentage of caesarian sections (30/32 cases, 93.8%). Both pyometra and dystocia had a high percentage of success following surgery. The use of standardized diagnostic and treatment protocols for the approach of RE allowed favorable outcomes.

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Hildayati, Wirna, Siti Hasanah, and Evi Kurniawati. "PENGARUH MUROTTAL TERHADAP PENURUNAN TINGKAT NYERI IBU BERSALIN KALA I FASE AKTIF DI RSUD dr. ZAINOEL ABIDIN." Midwifery Care Journal 2, no. 4 (October 31, 2021): 136–45. http://dx.doi.org/10.31983/micajo.v2i4.7877.

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Labor pain can cause hyperventilation. This situation will stimulate an increase in catecholamines which can cause obstruction in the strength of uterine contractions such as uterine inertia. The condition can cause fetal distress and maternal death during childbirth. Monitoring and intervention of labor pain in the first stage, especially in the active phase is very important, because it determines whether a mother can undergo a normal delivery or must given an intervention because of severe pain. One of the distraction techniques that can be used is murottal Al-Qur'an. Distraction is an act of diverting the pain experienced by doing something else. One of them is listening to murottal Al-Qur'an. The purpose of the research is to describe the effect of murottal on reducing the level of maternal pain during the active phase of the first stage of labor in dr. Zainoel Abidin hospital. This research is a quantitative research, where the research design used is Quasi Experimental Design with One Group Pretest-Postest. The population is all mothers who give birth during the Active phase of first stage totaling 30 people. In this study, before the intervention the average pain scale was 3.00 with standar deviation of 0.830. After the intervention the average pain scale was 1.67 with standar deviation of 0.547 with an average difference of 1.33. The result show that murrotal has significantly effect on reducing the level of maternal pain in the active phase of first stage at dr. Zainoel Abidin hospital with p-value 0.001. the conclusion is it was suggested to midwife apply murottal al-qur'an services to intrapartum patients to reduce labor pain levels.

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Mudrov, Viktor A., and Anna V. Yakimova. "Technology for predicting abnormal labor." Journal of obstetrics and women's diseases 70, no. 5 (November 2, 2021): 63–72. http://dx.doi.org/10.17816/jowd71368.

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BACKGROUND: Abnormal labor is the most common complication of labor. It occurs in 10-15% cases of labor and is an indication for operative delivery in a third of all cases. Until now, there are no effective ways to predict abnormal labor. Meanwhile, the use of high-tech forecasting methods is not available for a wide range of obstetric institutions in the Russian Federation. AIM: The aim of this study was to create a technology for predicting abnormal labor, based on generally available methods of laboratory and instrumental research. MATERIALS AND METHODS: Based on the data collected in the Regional Clinical Hospital Perinatal Center, Chita, Russia in 2018-2021, the retrospective analysis of 200 cases of labor was carried out. The total sample was divided into four study groups: 100 women with normal labor activity (group 1), 30 women with uterine inertia (group 2), 30 women with incoordinate uterine activity (group 3), and 50 women with excessive uterine activity (group 4). The groups were comparable in terms of age, anthropometric parameters and extragenital pathology. All women on the eve of labor (1-2 days) underwent general clinical and ultrasound examination. Statistical processing of the results was carried out using the IBM SPSS Statistics version 25.0 software. RESULTS: The technology for predicting abnormal labor is implemented based on a multilayer perceptron, with the percentage of incorrect predictions being 21.3%. The structure of the trained neural network included nine input neurons: labor parity, gestational age, leukocyte count, erythrocyte sedimentation rate, total protein concentration, amniotic fluid index, biparietal size, as well as fetal head and abdomen circumference. CONCLUSIONS: An integrated approach based on generally available laboratory and instrumental research methods, such as complete blood count and biochemical blood test, as well as ultrasound examination, on the eve of labor allows for predicting the abnormal labor development with an accuracy of up to 70%. The use of this technology in clinical practice will help, in the future, not only to prevent abnormal labor, but also to reduce the incidence of adverse obstetric and perinatal outcomes.

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