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The slides deals pharmacology of drugs acting on uterus . The use of drugs to impart labour pain or postpone labour pain is studied here . The pharmakokinectics and pharmacological action of drugs are given here . Charts and daigrams are given for easy learning . Hope you like reading it .
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Name of university
STUDENT’ SIGNATURE shivam aditya
CONTENTS
Teachers signature……………………………………. Examiner signature…………………………
Principal / HOD…………………………………………..
INTRODUCTION
Uterus is one most important part of female reproductive system
. Uterus is concerned with regular menstrual flow and child
bearing capacity for female through which every women has to
go through.
As far as concerned with pharmacology the drugs acting on
uterus affects both endometrium and myometrium.
Myometrium receive both sympathetic and parasympathetic
innervation.
The response shown by myometrium towards drugs is affected
by both hormonal and gestational status.
OXYTOCIN: SYNTHESIS AND SECRETION
● Oxytocin is polypeptide hormone which is
synthesized in supraoptic and paraventricular
nuclei of hypothalamus and it is transported to
posterior pituitary with help of axonal part
present in it.
● It is released during parturition and nipple
stimulation.
OXYTOCIN AS A LOVE HORMONE: WHY?
Stages of labour DESCRIPTION^ CHARACTERISTIC S
STAGE:1 Starts with onset of true labor pain and ends with full dilation of cervix
● Latent phase ● Active phase It consist of fallowing : acceleration , phase of maximum slope and deceleration phase
● 8-20 hrs ● 6-12 hrs
● 6-14 hrs ● 3-6 hrs
STAGE:2 Starts from full dilation of cervix and end with expulsion of foetus from birth canal
● 1-2 hrs ● 30min to 1hr
STAGE:3 Starts from explusion of foetus and end explusion of placenta and membrane
● 15min ● 15min
STAGE:4 Stages of observation: start from expulsion placenta upto 1 hr after explusion of placenta.
● 60min ● 60 min
ABNORMAL LABOUR: MALPOSITION AND
MALPRESENTATION
BREECH
PRESENTATION
TRANSVERSE
LIE POSITION
CLASSIFICATION:
Posterior pituitary hormones
Oxytocin Ergometrine Dinoprostone Dinoprost
Ethacridine
Desamino Oxytocin
Methylergometrine Carboprost Quinine
Misoprostol + mifepristone