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Routine use of fundal massage can prevent postpartum or post-abortion hemorrhage and can reduce pain; it may also reduce the need for uterotonics, medications that cause the uterus to contract. It is used to treat uterine atony , a condition where the uterus lacks muscle tone and is soft to the touch instead of firm.
Although hematometra can often be diagnosed based purely on the patient's history of amenorrhea and cyclic abdominal pain, as well as a palpable pelvic mass on examination, the diagnosis can be confirmed by ultrasound, which will show blood pooled in the uterus and an enlargement of the uterine cavity.
Other definitions of excessive postpartum bleeding are hemodynamic instability, drop of hemoglobin of more than 10%, [12] or requiring blood transfusion. In the literature, primary postpartum hemorrhage is defined as uncontrolled bleeding that occurs in the first 24 hours after delivery while secondary hemorrhage occurs between 24 hours and six ...
Therefore, a lack of uterine muscle contraction can lead to an acute hemorrhage, as the vasculature is not being sufficiently compressed. [1] Uterine atony is the most common cause of postpartum hemorrhage, which is an emergency and potential cause of fatality. Across the globe, postpartum hemorrhage is among the top five causes of maternal ...
Such procedure is relatively simple, inexpensive and has low surgical morbidity. [44] A Bakri balloon is a balloon tamponade specifically constructed for uterine postpartum hemorrhage. [45] While effective, commercially available devices may be expensive for settings in which postpartum hemorrhage is most common.
Ultrasound showing a subchorionic hemorrhage [1] Chorionic hematoma is the pooling of blood ( hematoma ) between the chorion , a membrane surrounding the embryo , and the uterine wall . [ 2 ] It occurs in about 3.1% of all pregnancies , [ 2 ] it is the most common sonographic abnormality and the most common cause of first trimester bleeding .
Ultrasound either abdominal or transvaginal to assess cervix, placenta, fluid and baby [18] Amniocentesis is the national standard for women over 35 or who reach 35 by mid pregnancy or who are at increased risk by family history or prior birth history. [16]
Device for both vaginal ultrasonography and abdominal ultrasonography Transvaginal ultrasonography to check the location of an intrauterine device (IUD). The examination can be performed by transabdominal ultrasonography, generally with a full bladder which acts as an acoustic window to achieve better visualization of pelvis organs, or by transvaginal ultrasonography with a specifically ...