Hayman stitch which is a simplified approach to uterine compression sutures was performed by tying two. Pdf postpartum hemorrhage pph is the leading cause of maternal morbidity and. Introduction hysterectomy is an operation in which the uterus is removed. The recognised risk factors that are associated with uterine atony are listed in table 1. Request pdf uterine compression sutures for atonic bleeding uterine compression suture is a simple and effective hemostatic procedure that requires no special skills. Serum vitamin d deficiency which causes decrease in serum calcium, thereby affecting the contractility of uterine smooth muscle, may result in atonic uterus and.
Pdf uterine salvage management for atonic postpartum. The other causes of bleeding were retained placenta or its fragments 21. Physiological uterine involution in primiparous and. Postpartum haemorrhage pph prevention, assessment and. Pdf on mar 16, 2012, pei shan lim and others published uterine atony. To assess the effectiveness of the new modified technique in order to control bleeding in women presenting with atonic, flabby uterus compared to the most commonly described technique of classic blynch suture. Prevention and management of postpartum hemorrhage janice m. Note that while you cannot prevent an atonic uterus from occurring nor can you always predict it, knowing the factors that make it more likely will help you to be alert to these possible signs of atonic pph placenta previa or placental abruption.
Atonic uterus 1124 3 hemorrhage was uterine atony, contributing to 57. Purposive sample with a total of 100 women diagnosed with atonic postpartum hemorrhage was recruited. Uterine atony is a loss of tone in the uterine musculature. Pdf effect of nursing care protocol on atonic postpartum. Hospital total percent uterine atony 36 16 28 80 57. Failure of the uterus to contract atonicuterus results in excessive bleeding. The real problem with atonic pph is that you cannot predict who will bleed.
Atonic uterus bleeding occurs from the placental site after delivery. The cervix, ovaries andor fallopian tubes might also be removed. Management strategies 99 and appropriate referral to a wellequipped centre should be done. Hayman uterine compression stitch for arresting atonic postpartum. In the atonic uterus, the vessels especially at the placental bed are unable to contract to. Vaginal hysterectomy usually done for some cases of uterine prolapse. Atony of the uterus, also called uterine atony, is a serious condition that can occur after childbirth.
Primary postpartum haemorrhage management flowchart pdf. As reported on mothers card, the commonest cause was atonic uterus 5071. All the women who were subjected to the hayman stitch for atonic pph were included in the study. Normally, contraction of the uterine muscles during labor compresses the blood vessels and reduces flow, thereby increasing the likelihood of coagulation and preventing hemorrhage. Table i causes of pph home maternity private hospital govt. Following the development of this protocol, we extracted specific clinical data from the medical records of 10 women who exsanguinated from uterine atony. Uterine salvage management for atonic postpartum hemorrhage using modified lynch suture article pdf available in bmc pregnancy and childbirth 161 december 2016 with 120 reads. This study included 160 women of uncontrolled atonic postpartum hemorrhage delivered by cesarean section at ain shams university maternity hospital. It occurs when the uterus fails to contract after the delivery of the baby, and it can lead.
Interference with the ability of the uterus to contract. Prevalence and predictors of primary postpartum hemorrhage plos. Hysterectomy prepared by dr rajesh t eapen atlas hospital ruwi muscat 2. Blood vessels in the placental site are surrounded by uterine muscles, which normally contract after delivery and close off the vessels. The active management of postpartum uterine atonya. Primary postpartum hemorrhage pph is defined as a cumulative blood loss. Researcharticle physiological uterine involution in primiparous and multiparous women.
792 357 1115 890 646 88 1613 651 1156 265 251 427 1067 1435 564 408 1364 1102 760 1508 665 1244 1159 334 978 642 731 1571 1518 247 1550 621 150 1605 775 495 245 642 162 110 1201 194 267 116 1240 532