Suppression of labour for fetal distress

O68.9 + (Z51.2)

DESCRIPTION

Tocolysis is useful to treat fetal distress in labour and to suppress labour in women needing transfer or awaiting Caesarean delivery. Also used prior to external cephalic version .

MEDICINE TREATMENT

  • Salbutamol bolus, 250 mcg IV, slowly over 2 minutes.
    • Reconstitute the solution as follows:
      • Add 1 mL (i.e. 0.5 mg/mL) salbutamol to 9 mL sodium chloride 0.9% to make a solution of 50 mcg/mL. Administer 5 mL (250 mcg) of this solution .
      • Monitor pulse. Do not administer if mother has cardiac disease.
      • Place the mother in the left lateral position.
      • If pulse increases >120 bpm, discontinue salbutamol.

LoEI [31]