Uterine Atony: Management Strategies

Lim, Pei Shan; Shafiee, Mohamad Nasir; Kampan, Nirmala Chandralega; Sulaiman, Aqmar Suraya; Ghani, Nur Azurah Abdul; Ismail, NorAzlin Mohamed; Lee, Choon Yee; Omar, Mohd Hashim; Yassin, Muhammad Abdul Jamil Mohammad

doi:10.5772/33272

Cited by 2 publications

(3 citation statements)

References 112 publications

(150 reference statements)

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“…ergometrin also works on vascular smooth muscle. 2 The management of postpartum hemorrhage, The fundamental purpose of intubation is to ensure airway patency and adequate ventilation and oxygenation. In patients with decreased consciousness [Glasgow coma scale (GCS) ≤ 8], bleeding shock, hypoventilation, or hypoxemia, intubation is one of the important management.…”

Section: Discussionmentioning

confidence: 99%

“…Severe acidosis may require sodium bicarbonate therapy. 2,13 Replenishment of blood loss aims to prevent or attenuate the phenomenon of mandatory ischemiareperfusion, which is proportional to the degree and length of the hypoxemia period. In addition to carrying oxygen, red blood cells also carry nutrients, inflammatory and immune cells, hormones, and clotting cells and factors.…”

Section: Discussionmentioning

confidence: 99%

“…1 Postpartum hemorrhage is a blood loss of more than 500ml or after vaginal birth and 1000 ml in cesarean delivery. 2,3 According to the American College of Obstetricians and Gynaecolgists, PPH is defined as a cumulative blood loss greater than or equal to 1000 mL or blood loss accompanied by signs or symptoms of hypovolaemia within 24 hours after the birth process (includes intrapartum loss) regardless of route of delivery. 4 Hypovolemic shock due to bleeding requires a well-integrated health management system.…”

Section: Introductionmentioning

confidence: 99%

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Management of Decreased Consciousness Caused by Hypovolemic Shock ec Postpartum Hemorrhage in Critical Care Setting

Kahar

2023

Ina J Rheum

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Introduction: Postpartum hemorrhage life-threatening condition, with a prevalence of approximately 1%-10% of all deliveries. Postpartum hemorrhage is one of the leading causes of maternal death. Case presentation: A 33-year-old female patient came to the emergency department with decreased consciousness 1 hour before hospital admission, with postpartum hemorrhage, placental abruption following cesarean section, and uterine atonia following B-Linch. The patient underwent a B-Linch operation after undergoing a cesarean section at a previous Hospital due to antepartum hemorrhage and placental abruption. The patient also experienced ongoing bleeding during the treatment due to uterine atonia. Following surgery, a post-operative laboratory evaluation revealed significant thrombocytopenia (platelets: 45.000/mm3) and anemia (Hb: 4,6 g/dl). Conclusion: The management of postpartum hemorrhage, especially with shock, requires comprehensive critical care management. Appropriate management with good multidisciplinary team involvement will improve patient outcomes and prevent multi-organ failure.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Management of Decreased Consciousness Caused by Hypovolemic Shock ec Postpartum Hemorrhage in Critical Care Setting

Kahar

2023

Ina J Rheum

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Role of Innovative Balloon Tamponade in Atonic Post Partum Haemorrhage

Singh

Kaur

et al. 2023

ijsr

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Introduction: Postpartum hemorrhage is the major cause of maternal deaths, especially in the developing world. Uterine atony is the most common cause of PPH and when the hemorrhage is not controlled with medical management then Intrauterine balloon tamponade is one method that proves very effective and reduces the need for further surgical interventions. T Aims & Objectives: o evaluate the effectiveness of balloon tamponade in the management of atonic PPH. This prospective study was conducte Materials & Methods: d in the Department of Obstetrics & Gynaecology at Government Medical College and Rajendra Hospital, Patiala. We included 50 cases of atonic PPH in the study where medical management failed. Uterine tamponade was achieved by an innovative condom balloon catheter The success rate of balloon tamponade Results: in controlling bleeding came out to be 94%. We concluded that Uterine balloon tam Conclusions: ponade is effective, non-invasive, simple to use, easily available, and cost-effective method for the management of PPH. If we are unable to control bleeding with this method, it provides a temporary tamponade effect to gain time for surgical procedures or referral to a higher center if facilities are not available

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Uterine Atony: Management Strategies

Cited by 2 publications

References 112 publications

Management of Decreased Consciousness Caused by Hypovolemic Shock ec Postpartum Hemorrhage in Critical Care Setting

Management of Decreased Consciousness Caused by Hypovolemic Shock ec Postpartum Hemorrhage in Critical Care Setting

Role of Innovative Balloon Tamponade in Atonic Post Partum Haemorrhage

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