Uterine hyperstimulation resulting from intravaginal prostaglandin E2. A case report.

Prostaglandin E2 administered intravaginally is an effective method of improving Bishop scores in patients requiring elective induction of labor. We treated a woman for hypertonic uterine contractions that occurred over a five-hour period after application of 5 mg of prostaglandin E2. Sedation and magnesium sulfate were not effective in decreasing the intensity of the contractions, but terbutaline, 0.25 mg subcutaneously, was.