uterine irritability
Increased uterine contractility following fetal surgery requiring tocolytic management.
Full Definition
Uterine irritability refers to increased frequency and intensity of uterine contractions that commonly occurs following fetal surgical interventions. This response to surgical manipulation can lead to preterm labor and delivery if not adequately managed with tocolytic medications. The condition typically develops within hours after fetal surgery and may persist for several days, requiring careful monitoring and aggressive tocolysis. Management strategies include intravenous magnesium sulfate, nifedipine, or indomethacin depending on gestational age and specific clinical circumstances.
Usage
Usage note: Distinguish from normal postoperative discomfort and document specific contraction patterns when present.
In Context
- "Postoperative uterine irritability was successfully managed with continuous magnesium sulfate infusion." — Postoperative care plan
- "The patient developed significant uterine irritability requiring intensive tocolytic therapy following the fetal repair." — Nursing assessment note