Trastorno de la coordinación uterina. Inversión del triple gradiente descendente

We describe the case of a pregnant woman who, on two consecutive occasions and shortly beforeterm, presented uncoordinated uterine activity without cervical modification and who was diagnosed with dynamic dystocia due to inversion of the “triple contraction gradient”. This phenomenon has been known since the 1950s but its cause has never been explained. We performed a literature review to analyze its possible causes and the various treatments used to resolve it.