How do you diagnose atonic uterus?
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How do you diagnose atonic uterus?
Diagnosing Atony of the Uterus Atony of the uterus is usually diagnosed when the uterus is soft and relaxed and there’s excessive bleeding after giving birth. Your doctor may estimate the blood loss by counting the number of saturated pads or by weighing the sponges used to absorb blood.
What is an atonic uterus?
What is uterine atony? Uterine atony refers to the failure of the uterus to contract sufficiently during and after childbirth. It can occur during both vaginal and cesarean delivery. The uterus is anatomically divided into 3 regions; the fundus (uppermost part), the body (main part), and the cervix (lower part).
What is the pathophysiology of uterine atony?
Uterine atony refers to the inadequate contraction of the corpus uteri myometrial cells in response to endogenous oxytocin release. Postpartum hemorrhage can occur because spiral arteries are uniquely devoid of musculature and dependent on uterine contractions to mechanically squeeze them into hemostasis.
What are the characteristics of uterine atony?
| Uterine atony | |
|---|---|
| Specialty | Obstetrics |
| Symptoms | Uncontrolled postpartum bleeding, decreased heart rate, pain, soft non-contracted uterus |
| Complications | postpartum hemorrhage, DIC, hypovolemic shock, renal failure, hepatic failure, and death |
| Usual onset | third stage of labor |
How will the nurse recognize uterine atony?
Signs of uterine atony include a boggy uterus, a fundus that is higher than expected upon palpation, and excessive lochia. The nurse must report a PPH immediately and prepare for the insertion of a large-bore intravenous catheter, if one is not already present, and the administration of intravenous fluids and oxygen.
What is atonic PPH?
11.2 Atonic postpartum haemorrhage. The word ‘atonic’ means ‘loss of muscular tone or strength to contract’. Atonic postpartum haemorrhage is characterised by excessive bleeding when the uterus is not well contracted after the delivery, and is soft, distended and lacking muscular tone.
What is lochia rubra?
Lochia rubra is the first stage of lochia. Dark or bright red blood. Lasts for three to four days. Flows like a heavy period. Small clots are normal. Mild, period-like cramping.
What medications are used for uterine atony?
For treatment of hemorrhage due to uterine atony the first line medication remains oxytocin. 2. Institutions should select a standard medication for second line treatment. Options include Methergine® (methylergonovine maleate), Hemabate® (carboprost or 15 methyl PGF2 alpha) and Cytotec® (misoprostol).
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.
What are the 3 types of lochia?
You’ll go through three postpartum bleeding stages: lochia rubra, lochia serosa and lochia alba.
What are the 3 stages of lochia?
Lochia has three stages. The duration of each stage and the way lochia looks can vary. Lochia is postpartum bleeding and vaginal discharge….Lochia alba is the last stage of lochia. You can expect:
- Yellowish white discharge.
- Little to no blood.
- Light flow or spotting.
- Lasts from about 12 days to six weeks.
- No clots.
Which procedure will help in the management of atonic PPH?
Safety pin uterine compression suture is a simple, safe, highly effective, and life-saving conservative procedure to control atonic postpartum hemorrhage with the advantage of preserving future fertility.
