What is an Overdistended uterus?
Overdistended uterus. This is when the uterus is larger than normal because of too much amniotic fluid or a large baby.
What is Subinvolution of the uterus?
Subinvolution is a medical condition in which after childbirth, the uterus does not return to its normal size.
What is atony uterus?
Uterine atony, or failure of the uterus to contract following delivery, is the most common cause of postpartum hemorrhage. This review serves to examine the prevention and treatment of uterine atony, including risk-factor recognition and active management of the third stage of labor.
What is rubra Lochia?
Stage 1: Lochia Rubra Postpartum bleeding is heaviest the first few days after baby is born. Blood will be a dark or bright red and will be very heavy. It is normal to see clots in your lochia during this stage.
What are the most common causes for Subinvolution of the uterus?
Subinvolution/uterine atony The two main causes of this are infection (see Chapter 44) and inflammation (endometritis) and retained placental tissue. Endometritis is more common following pro- longed rupture of membranes, prolonged labor, emergency Cesarean section or with a retained placenta requiring manual removal.
How is Subinvolution of the uterus diagnosed?
Examinations included abdominal palpation, vaginoscopy, vaginal smear examination and, if necessary, radiography and ultrasonography. The presence of decidua-like cells in the smear was confirmed as evidence of abnormal uterine involution.
What is the difference between Subinvolution and uterine Atony?
This is in contrast to uterine atony in which hemorrhage occurs immediately after delivery and is much more severe. Subinvolution is, in fact, the most common cause of “delayed” postpartum hemorrhage. It is more common in multiparous women and tends to recur in subsequent pregnancies.
How do you assess for uterine Atony?
Assess uterine size and tone by placing a hand on the uterine fundus and massaging the uterus, which serves to express any clots that have accumulated in the uterus or vagina. If the uterus is found to be boggy and not well contracted, commence vigorous massage and therapeutic oxytocin.
Is boggy uterus normal?
What does a boggy uterus feel like? A healthy uterus is a muscular organ and presents a feeling of resistance upon physical examination. In contrast, a boggy uterus will feel large and soft, lacking the expected resistance. Additionally, a boggy uterus is usually very tender.
Who is at risk for 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.
What are the most common uterus problems?
An enlarged uterus is common and can be a symptom of a variety of medical conditions, some of which require treatment. Two of the most common causes of an enlarged uterus are uterine fibroids and adenomyosis. Uterine fibroids.
What causes a torn uterus?
Uterine ruptures have also been known to occur in some women who have never had a cesarean. This type of rupture can be caused by weak uterine muscles after several pregnancies, excessive use of labor inducing agents, a prior surgical procedure on the uterus, or mid-pelvic use of forceps.
What is the treatment for uterine atony?
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
Why is the uterine inflammation?
Some causes that can cause uterine inflammation and endometristis are: Sexually transmitted diseases, such as gonorrhea, chlamydia, or HPV; Infectious vaginitis, such as candidiasis or bacterial vaginosis, for example; Allergy to condoms, diaphragms or chemicals such as spermicides;