08_uterine-atony

Atony of the Uterus

Uterine atony is also called as atony of the uterus is a diseased condition that occurs after childbirth. Uterine atony mainly occurs when the uterus is unable to contract after the Delivery. Uterine atony is a serious condition that can be life-threatening and can lead to postpartum haemorrhage.

Usually after the delivery, your uterine muscles contract to deliver the placenta. Blood vessels that are attached to the placenta get compressed. The compression of these blood vessels helps in preventing bleeding.

In few cases the blood vessels excessively bleed, when the muscles fail to contract properly. Continuous bleeding generally leads to postpartum haemorrhage. During a postpartum haemorrhage there is a loss of more than 500 ml of blood after delivery of placenta.

Symptoms of Uterine Atony

The most common symptoms related to uterine atony includes:

  • Excessive and uncontrolled bleeding
  • Decreased blood pressure
  • Increased heart rate
  • Backache

Causes of Uterine Atony

Uterine atony is mainly caused when your muscles of uterus fail to contract after labor. There are different factors that prevent your uterine muscles from contracting:

  • Prolonged and rapid labor
  • Excessive enlargement of uterus
  • Excessive usage of oxytocin or general anaesthesia
  • Induced labor

Risk of uterine atony increases in conditions when:

  • You are delivering twins or triplets
  • You are older than 35 years of age
  • Your are obese or overweight
  • You have excess of amniotic fluid called polyhydramnios
  • Fetal macrosomia

Uterine Atony Diagnosis

Uterine atony is diagnosed when your uterus is soft, relaxed and excessive bleeding is experienced after delivery. Your gynaecologist may estimate the blood loss by weighing the sponges or saturated pads that are used to absorb the blood. The common tests include:

  • Physical examination
  • Red blood cell count
  • Clotting factors in blood are determined
  • Blood pressure and pulse rate is checked

Uterine Atony Treatment

Uterine atony treatment is mainly done to stop the bleeding and replacing the blood that is lost during the diseased condition. The main important treatments include:

  • Uterine Massage
  • Uterotonic drugs
  • Blood transfusion
  • Blood vessels are tied surgically
  • Uterine artery embolization
  • Hysterectomy

Atony of the uterus or uterine atony can be treated on early diagnosis. The Gynaecologist in Hyderabad can treat uterine atony cases. Dr. Vandana Hegde is the best gynaecologist in Hyderabad. Gynaecologist in Kondapur can efficiently treat uterine atony cases. Gynaecologist in Gachibowli treats uterine atony cases at the best affordable rates.

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