Montevideo units are a method of measuring uterine performance during labor. They were created in 1949 by two physicians, Roberto Caldeyro-Barcia and Hermogenes Alvarez, from Montevideo, Uruguay. They are exactly equal to 1 mmHg within 10 minutes. A standard adequate measurement is 200; this is generally equivalent to 27 kPa of combined pressure change within 10 minutes.
Units are directly equal to pressure change in mmHg summed over a ten-minute window. It is calculated by internally (not externally) measuring peak uterine pressure amplitude (in mmHg), subtracting the resting tone of the contraction, and adding up the numbers in a 10-minute period. [1] Uterine pressure is generally measured through an intrauterine pressure catheter.
Montevideo units can be more simply calculated by summing the individual contraction intensities in a ten-minute period, a process which should arrive at a result identical to the original method of calculation. [2]
Generally, above 200 MVUs is considered necessary for adequate labor during the active phase.
If, for instance:
55-10 = 45 50-10 = 40 45-10 = 35 65-10 = 55 50-10 = 40
45+40+35+55+40 = 215 MVUs
The decibel is a relative unit of measurement corresponding to one tenth of bel. It is used to express the ratio of one value of a power or field quantity to another, on a logarithmic scale, the logarithmic quantity being called the power level or field level, respectively.
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Blood pressure (BP) is the pressure of circulating blood on the walls of blood vessels. Most of this pressure is due to work done by the heart by pumping blood through the circulatory system. Used without further specification, "blood pressure" usually refers to the pressure in large arteries of the systemic circulation. Blood pressure is usually expressed in terms of the systolic pressure over diastolic pressure and is measured in millimeters of mercury (mmHg), above the surrounding atmospheric pressure.
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A uterine contraction is a muscle contraction of the uterine smooth muscle.
Cardiotocography (CTG) is a technical means of recording the fetal heartbeat and the uterine contractions during pregnancy. The machine used to perform the monitoring is called a cardiotocograph, more commonly known as an electronic fetal monitor (EFM).
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The acoustic reflex is an involuntary muscle contraction that occurs in the middle ear in response to loud sound stimuli or when the person starts to vocalize.
Uterine rupture is when the muscular wall of the uterus tears during pregnancy or childbirth. Symptoms while classically including increased pain, vaginal bleeding, or a change in contractions are not always present. Disability or death of the mother or baby may result.
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Roberto Caldeyro-Barcia was a Uruguayan doctor who pioneered the field of maternal-fetal medicine, or perinatology. His research with Dr. Hermógenes Alvarez created Montevideo units, a measure of uterine performance during labor. He was a founding editor of the Journal of Perinatal Medicine, a widely published author, a lecturer, and as of 2010 the only Uruguayan to be nominated for a Nobel Prize.
Stochastic resonance is a phenomenon that occurs in a threshold measurement system when an appropriate measure of information transfer is maximized in the presence of a non-zero level of stochastic input noise thereby lowering the response threshold; the system resonates at a particular noise level.
Increased intracranial pressure (ICP) is one of the major causes of secondary brain ischemia that accompanies a variety of pathological conditions, most notably traumatic brain injury (TBI), strokes, and intracranial hemorrhages. It can cause complications such as vision impairment due to intracranial pressure (VIIP), permanent neurological problems, reversible neurological problems, seizures, stroke, and death. However, aside from a few Level I trauma centers, ICP monitoring is rarely a part of the clinical management of patients with these conditions. The infrequency of ICP can be attributed to the invasive nature of the standard monitoring methods. Additional risks presented to patients can include high costs associated with an ICP sensor's implantation procedure, and the limited access to trained personnel, e.g. a neurosurgeon. Alternative, non-invasive measurement of intracranial pressure, non-invasive methods for estimating ICP have, as a result, been sought.