Hypertonic dysfunctional labor generally can be expected to (AIIMS Nov 2011)
|A||Be associated with rapid cervical dilation|
|B||Cause little pain|
|C||Occur in active phase of labor|
|D||Response to sedation|
Response to sedation
a. Hypertonic uter ine dysfunction is characterized by a lack of coordination of uterine con tractions, possibly caused by disorganization of the contraction gradient, which normally is greatest at the fundus and least the cervix.
b. This type of dysfunction usually appears during the latent phase of labor and is responsive to sedation, not oxytocin stimulation.
c. The disorder is accompanied by a great deal of discomfort with little cervical dilation (the familiar and painful false labor). After being sedated for a few hours, affected women usually awaken in active labor.