Which drug is used as a uterine relaxant for the treatment of uterine inversion?

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!

Terbutaline is utilized as a uterine relaxant, making it an effective option for the treatment of uterine inversion. Uterine inversion is a condition where the uterus turns inside out, often after childbirth, and prompt medical intervention is necessary to restore the uterus to its normal position. Terbutaline belongs to a class of medications known as beta-agonists, which function by stimulating beta-adrenergic receptors. The activation of these receptors leads to smooth muscle relaxation, notably affecting the uterine muscle, which is crucial in managing uterine inversion.

In contrast, magnesium, while a uterine relaxant, is typically used in the context of preterm labor or eclampsia rather than specifically targeting uterine inversion. Oxytocin is primarily a uterotonic agent that promotes contraction of the uterus, thereby assisting in processes like labor induction and postpartum hemorrhage management, rather than relaxation. Prostaglandins are involved in promoting uterine contractions and cervical ripening and are not used for uterine relaxation. Thus, terbutaline's unique mechanism as a beta-agonist specifically aids in relaxing the uterus, making it the appropriate choice for treating uterine inversion.

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