How do you treat Atonia?

Treatment for Atony of the Uterus uterine massage, which involves your doctor placing one hand in the vagina and pushing against the uterus while their other hand compresses the uterus through the abdominal wall. uterotonic drugs including oxytocin, methylergonovine (Methergine), and prostaglandins, such as Hemabate.

What medications are used for uterine atony?

Initial Medical Treatment

  • Oxytocin (Pitocin) can be given IV 10 to 40 units per 1000 ml or 10 units intramuscularly (IM).
  • Methylergonovine (Methergine) given IM 0.2 mg.
  • 15-methyl-PGF2-alpha (Hemabate) given IM 0.25 mg.
  • Misoprostol (Cytotec): 800 to 1000 mg placed rectally.

What does a boggy uterus indicate?

Boggy uterus refers to a clinical finding in which the uterus is identified as enlarged and soft. The uterus, a muscular organ of the reproductive system, is capable of stretching in order to accommodate a growing fetus.

How long does it take uterus to shrink?

These cramps are actually your uterus shrinking back to its pre-pregnancy size. The uterus starts shrinking within minutes of giving birth, but it takes about six weeks to fully return to its previous size.

What is muscle Atonia?

It is normally characterized by muscle atonia (a loss of muscle tone), meaning that we are essentially paralyzed during this phase of sleep and should therefore, be unable to initiate any motor movements.

What is the most common cause of 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.

Can urine retention cause uterine atony?

Postpartum urinary retention can damage detrusor muscles and parasympathetic nerves of the bladder wall and change detrusor function, as well. Also, increased levels of progesterone during pregnancy and the early puerperium period might cause bladder atony and facilitate detrusor damage (12, 18, 19).

Who is at risk for postpartum hemorrhage?

Who is at a higher risk for postpartum hemorrhage? Those with placental problems like placenta accreta, placenta previa, placental abruption and retained placenta are at the highest risk of PPH. An overdistended uterus also increases the risk for PPH.

Is boggy uterus normal?

A hypotonic uterus, or “boggy” uterus, is among the most common obstetrical conditions which may cause postpartum infection and postpartum hemorrhage (PPH).

What is the normal size of uterus after delivery?

By about 18-20 weeks it will have grown out and up — reaching about as high as your belly button. From then on, it will measure about as many centimeters as the week you are in your pregnancy (so at 38 weeks, it will likely measure about 38 centimeters).