Relations between the wave of uterine contractions and subjective complaints and tocolytic index. From the management on pregnant women of threatened premature labor.:from the management on pregnant women of threatened premature labor
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1. i) In threatened premature labor, viewed from a uterine contraction wave and a subjective complaint obtained by means of a cardiotocogram, B waves and L waves were observed in many cases when the patient complained of a lower abdominal pain and/or lumbago.<BR>With these pains, or with a complaint of abdominal distension, the threatened premature labor is possible, and an objective evaluation of uterine contractions by means of the cardiotocogram is necessary.<BR>The uterine contraction was recorded with a cardiotocogram.<BR>The recorded waves were evaluated by Nakae's classification (1978), and given points for each wave : 1 point for A wave, (31-60 sec), 1.5 point for B wave (61-180 sec).<BR>ii) From this study, as a prime therapeutic factor, the wave of uterine contractions with less than two contractions (A and/or B waves) in 30 minites, i.e. below 3 points of contraction is provided.<BR>2. Correlativity between these points and lower abdominal pain and lumbago is heightened and subjective complaints are increased as the point of uterine contraction becomes larger.<BR>3. In the case of 4 points of contraction or more, subjective complaints with lower abdominal distension, lower abdominal pain and lumbago were considerably increased.<BR>4. In the case of uterine contractions with more than 7 points having such pains as lower abdominal pain and lumbago, the patient was prematurely delivered at a relatively earlier time.<BR>5. The uterine contraction, one of the four factors in Tocolytic Index (T.I.) (Baumgarten, 1974) which is frequently used in foreseeing pre-term delivery mentions just irregular or regular. To assure more concrete determination, we studied the uterine contraction points in order to apply them to T.I.
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