title: [Significance of internal tocography and intrapartal tocolysis in the management of labor].
abstract: The quantitation of uterine activity in 5,611 deliveries shows the following frequency of tocographic alarm criteria: high amplitude of labour greater than or equal to 11 kPa (82.5 Torr), 3.1%; high frequency of labour greater than or equal to 6 labours/10 min 4.6%; total contraction area greater than or equal to 40 kPa-min (300 Torr-min/10 min) 5.4%; high uterine basal tonus greater than or equal to 4 kPa (30 Torr) 0.9%; irregularity of labour 3.5%. In 70% the uterine hyperactivity is the reason for pathological FHF-patterns which induced an intravenous bolus injection of 25 micrograms Partusisten or an automatic continuous infusion before operative delivery. A second retrospective report covers 8,895 deliveries with a rate of 26.9% betamimetic treatments (preterm 41.5%) and only 8.1% pathological FHF-patterns. The low incidence of acidosis in the umbilical arteria (pHNA less than 7.10) of 2.6% in preterm and 0.6% in term newborn is caused by our obstetrical management including elective foetal monitorings and consistently realized betamimetic treatment during labour.
mesh_terms: D005260:Female; D005280:Fenoterol / Q000627:therapeutic use; D005316:Fetal Distress / Q000517:prevention & control; D005323:Fetal Monitoring / Q000379:methods*; D006801:Humans; D007262:Infusions, Intravenous; D007752:Obstetric Labor, Premature / Q000517:prevention & control*; D011247:Pregnancy; D014590:Uterine Contraction / Q000187:drug effects
chemical_list: D005280:Fenoterol
vernacular_title: Die Bedeutung der internen Tokographie und intrapartalen Tokolyse für die Geburtsleitung.