Levodopa. Dioxyphenylalanine (DOPA or DOPA) is a biogenic substance formed in the body from tyrosine and is a precursor of dopamine, which in turn is converted into noradrenaline and then into adrenaline.
Excitation of muscular cholinergic receptors of myometrium causes an increase in hydrolysis of phosphoinositides, activation of phospholipase A2, activation of protein kinase C, reduction.
Currently, there are a number of highly effective domestic and foreign antispasmodics. At the same time, from an infinite number of different drugs studied and applied over the past few years, only a few who have stood the test of wide practice on the basis of their effectiveness, harmlessness for both the mother and the child and the ease of execution can be offered now.
Diagnosis of pelvic presentation is sometimes difficult. High standing of the bottom of the uterus, reaching the level of the xiphoid process, is one of the signs of pelvic presentation.
Due to the nature of the course of labor during pelvic presentations of the fetus, it is necessary to perform the following measures: prevention of untimely discharge of amniotic fluid; early detection of abnormalities of labor and their timely treatment; rendering in manual delivery manuals for NA Tsovyanov and classical manual allowance.
Pregnancy and childbirth with pelvic presentation of the fetus should be considered pathological. Births with pelvic presentation of the fetus represent a certain danger for both the woman and especially for the fetus.
When preparing for childbirth and in the process of the birth act, it is necessary to systematically introduce antispasmodics at 2-3 h intervals, taking into account the nature of labor, the type of abnormality of labor and the pharmacodynamics of the antispasmodics used.
The use of anesthetics should begin with the establishment of regular labor and the opening of the uterine throat 3-4 cm. In a number of foreign clinics, epidural analgesia is widely used.
In the II stage of labor, intravenous administration of oxytocin should be done by dropping, starting at 8 drops / min, increasing every 12 to 16 drops, but not exceeding 40 drops per minute.
The planned cesarean section for pelvic presentation of the fetus should be performed in the presence of the following indications: narrowing of the pelvis of the I-II degree with a fetus weight exceeding 3500 g; primiparous over 35 years;