Obstetric complications include uterine atony
and prolonged labour requiring caesarean delivery, whereas anaesthetic complications may result from medications used for general anaesthesia.
Compression sutures are most often used in the setting of refractory uterine atony
. They also may be helpful for controlling focal atony or bleeding from a placental implantation site.
In 75%-90% of cases primary PPH is caused by uterine atony
In 10(30%) patients EOH was performed for uncontrollable hemorrhage due to uterine atony
, followed by a morbidly adherent placenta (28%).
Among different causes of PPH, uterine atony
constitutes 45.9% and thought of as the leading reason for maternal mortality worldwide3.
Up-down determination of the ED (90) of oxytocin infusions for the prevention of postpartum uterine atony
in parturient undergoing.
After the delivery of the baby, uterine stimulant medications (uterotonics/oxytocics) were administered during and after the cardiac operation to avoid the uterine atony
. Cardiovascular surgery team started the operation after the obstetrician completed C/S.
The major causes of death from haemorrhage were bleeding associated with caesarean delivery (CD) (34.9%), uterine rupture (15.1%), abruptio placentae (12.9%), uterine atony
(9.5%) and retained placenta (6.9%).
In our first patient who received Karateke packing, bilateral hypogastric artery ligation, and B-Lynch suture were performed via laparotomy due to postpartum uterine atony
and there was no intra-operative bleeding.
Hence, resulting in less availability of glucose and calcium to uterine muscular tissues which proceeded as uterine atony
and culminated to retained placenta (Mohanty et al., 1994).
Other indications were uterine atony
6 (19.4%) and uterine rupture 3 (9.7%).