How do you manage uterine atony?
Uterine atony is responsible for most cases and can be managed with uterine massage in conjunction with oxytocin, prostaglandins, and ergot alkaloids. Retained placenta is a less common cause and requires examination of the placenta, exploration of the uterine cavity, and manual removal of retained tissue.
Which procedure will help in the management of atonic PPH?
A new safety pin suture is a simple and effective procedure to control bleeding in patients with treatment-resistant, life-threatening atonic postpartum hemorrhage with the advantage of eliminating the risk of the sutures sliding off at the uterine fundus.
Which of the following management should be performed in the setting of postpartum hemorrhage following a vaginal delivery?
Procedures used in PPH management include manual removal of the placenta, manual removal of clots, uterine tamponade, and uterine artery embolization. Laceration repair is indicated when PPH is a result of genital tract trauma.
What are the most important risk factors for postpartum uterine atony?
Risk factors for uterine atony include uterine overdistention secondary to hydramnios, multiple gestation, use of oxytocin, fetal macrosomia, high parity, rapid or prolonged labor, intra-amniotic infection and use of uterine-relaxing agents.
What are the most important risk factors for post partum uterine atony?
High-risk criteria include placental previa or accreta, bleeding diathesis, 2 or more medium risk factors for uterine atony. Use of a cell saver (blood salvage) should be considered for women at increased risk of postpartum hemorrhage, but this is not cost-effective to be routine.
When caring for a patient who has experienced a postpartum hemorrhage what laboratory values are of most interest?
Laboratory studies that may be helpful include the following: Complete blood count (CBC) with hemoglobin and hematocrit. Coagulation studies.
What is the main cause of uterine atony?
What causes uterine atony? Uterine atony is caused by the inability of the myometrium to contract sufficiently in response to oxytocin, a hormone the body releases before and during childbirth to stimulate uterine contractions.