[Deirdre]

The other night at work I had a conflict with 2 new ob's over the term hyperstim, they stated that it was only hyperstim if the fh became nonreassuring, that what i was calling hyperstim was in fact tachysystole. I went on line and did find literature on tachysystole. I asked another practioner and she had never heard the term either. is this to be our new lingo??? Feedback Please!!!

[SmilingBluEyes]

to be truthful I have heard the terms used interchangeably by many doctors. However, we only use "hyperstim" where I work. From an OB-GYN message board, here is their definition of each:

Definitions: a) Tachysystole: At least 6 contractions in 10 minutes for 2 consecutive 10 minute periods b) Hypertonus: A single contraction lasting 2 minutes c) Hyperstimulation Syndrome: tachysystole or hypertonus with associated fetal tachycardia, late decelerations, and/or loss of BTBV i) Treatment: - Terbutaline 250 micrograms IV/IM or - MgSO4 4g load over 20 minutes followed by 2g/hr IV
http://forums.obgyn.net/ob-gyn-l/OBGYNL.9706/0897.html