sup][5],[6] Among patients who received MT in our study, uterine
atony was the most common cause throughout the 10-year period (55%).
We report retrospectively three cases of failed medical treatment of primary postpartum haemorrhage secondary to uterine
atony which were managed successfully with condom tamponade.
History of prior caesarean section was associated with
atony in 41.
In terms of the causes of postpartum haemorrhage, the majority (62%) were due to uterine
atony, followed by cervical or vaginal tear, 13.
The most common indications for the obstetric hysterectomy are: placenta's pathologies; uterine
atony and rupture of the uterus.
Other Risk factors include:-Prolonged labour, multiple pregnancy, polyhydramnios, large baby, obesity, previous uterine
atony & coagulopathy.
In additional findings, a history of postpartum hemorrhage due to one etiology, for example, uterine
atony or retained placenta, increased the risk not only of a recurrence of hemorrhage due to the same etiology but also of occurrence of hemorrhage due to other etiologies.
Uterine sepsis and abruptio placentae can also cause uterine
atony and coagulopathy.
Oxytocin, commonly used to prevent postpartum
atony and haemorrhage, continues to generate controversy among anaesthetists and obstetricians caring for women having caesarean sections.
In the esophagus, epidermolysis bullosa can affect anatomical motility though strictures, herniations,
atony reflux, and other problems.
As Intraoperative complication, the patient presented uterine
atony and placenta accreta confirmed by histology, which required hysterectomy and postoperative ICU for five days with favorable results.
5) Associations include trauma, constipation, distal colonic obstruction (ie, colonic carcinoma or diverticulitis),
atony (colonic ileus/pseudo-obstruction), colonoscopy, postpartum abdomen, and postoperative abdomen.
