What complication can occur due to uterine tachysystole during labor?

Study for the ABOG Oral Boards Obstetrics Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

Uterine tachysystole is defined as excessive uterine activity, typically characterized by more than five contractions in a ten-minute period. This condition can lead to several complications during labor, particularly impacting the tone and integrity of uterine muscle and the fetal condition.

Uterine rupture is a particularly severe complication that can arise as a result of tachysystole. During tachysystole, the excessive frequency of contractions can lead to prolonged and intense pressure on the uterine wall. If the contractions are too frequent or too strong, they can result in a breach in the uterine wall, especially in cases where there is a pre-existing scar (such as from a previous cesarean section). This rupture can lead to significant maternal and fetal morbidity and mortality, requiring immediate medical intervention.

The other options do not represent complications associated with uterine tachysystole. For instance, continuous labor is expected in the context of tachysystole, cardiac arrest is not a direct consequence of this condition, and increased maternal comfort would be unlikely given the stress and potential pain associated with excessively frequent contractions. Thus, uterine rupture distinctly exemplifies a serious complication that can ensue from unmanaged uterine tachysystole during labor.

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