Management of the High-Risk Obstetric Patient

Ignacio, Elizabeth A.; Osman, Murat; Igboagi, Uzoma; Razjouyan, Faezeh; Liddel, Robert P.; Hill, Michael C.

doi:10.1016/b978-0-323-61204-3.00044-0

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…Secondary postpartum hemorrhage consists of retained products of conception, infection, subinvolution of the placental site, and inherited coagulation deficits (Bienstock et al, 2021). (Uterine atony is a condition where contractions of the myometrium decrease so that the uterus, after delivery, becomes flaccid and unable to provide adequate compression for (Ignacio et al, 2020;Kim et al, 2022). Uterine atony is known to be the most common cause of PPH compared to other causes (Li et al, 2022).…”

Section: Research Results and Discussion A) Uterine Atony Definitionmentioning

confidence: 99%

The effectiveness of using uterine tampons in treating uterine atony

Selvilla,

Siregar,

Jap

et al. 2023

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Postpartum hemorrhage is excessive bleeding that occurs after delivery due to blood loss of 500 mL in a standard delivery or 1,000 mL in a cesarean delivery. Postpartum hemorrhage is divided into primary and secondary and classified based on the 4 Ts: tone, trauma, tissue, and thrombin. Uterine atony is the most common cause. The use of uterine tamponade is an option to treat postpartum hemorrhage (PPP) because it is relatively non-invasive, with a success rate of more than 80%. Using uterine tamponade is easy and quite simple but requires hands-on training to increase confidence in installing uterine tamponade. The literature sources used are Google Scholar, Pubmed, Science Direct, Hindawi, Medline, and Cochrane. After obtaining appropriate literature, the literature is compiled. Uterine tamponade is a second-line treatment for uterine atony that does not respond to uterotonics. Based on the literature search that has been carried out, uterine tamponade is an effective therapy for PPH, is easy to use, and has a low risk of harm with a success rate of 80-87.3%. The use of uterine tamponade can also significantly reduce the need for invasive procedures. Uterine atony is the most common cause of PPH, which results in morbidity and mortality. Uterine tamponade has been proven to be effective, safe, practical, and cheap to treat PPH in daily practice. Further research may be needed in Indonesia to determine the effectiveness of uterine tamponade in treating uterine atony.

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Section: Research Results and Discussion A) Uterine Atony Definitionmentioning

confidence: 99%

The effectiveness of using uterine tampons in treating uterine atony

Selvilla,

Siregar,

Jap

et al. 2023

View full text Add to dashboard Cite

show abstract

“…This life-threatening postpartum complication may be accompanied by severe hemorrhage. In uterine inversion, the myometrium is unable to contract and retract that resulting in severe blood loss ( 3 ). Furthermore, when the broad ligament and peritoneal nerves are stretched by uterine inversion, parasympathetic tone is increased that leading to shock condition ( 2 ).…”

Section: Discussionmentioning

confidence: 99%

Uterine Artery Embolization as an Effective Management and Diagnostic Tool for Puerperal Uterine Inversion with Severe Postpartum Bleeding: A Case Report

Kim

Cho

Park

et al. 2022

J Korean Soc Radiol

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Acute puerperal uterine inversion is a rare postpartum obstetric complication; however, without rapid diagnosis and appropriate management, it is life-threatening. Substantial bleeding hinders the verification of a partially inverted uterus, possibly delaying the treatment. Herein, we present the report of a 32-year-old female presenting with massive postpartum bleeding managed by uterine artery embolization. The peculiar course of the uterine artery bowing inferiorly along the inverted fundus during embolization could uncover the uterine inversion, which was not diagnosed by physical examination and CT. In conclusion, uterine artery embolization is not only an effective therapeutic strategy for postpartum hemorrhage but also a valuable tool for diagnosing uterine inversion.

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Management of the High-Risk Obstetric Patient

Cited by 2 publications

References 26 publications

The effectiveness of using uterine tampons in treating uterine atony

The effectiveness of using uterine tampons in treating uterine atony

Uterine Artery Embolization as an Effective Management and Diagnostic Tool for Puerperal Uterine Inversion with Severe Postpartum Bleeding: A Case Report

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