Primary atony of the lower uterine segment as a distinct cause of early postpartum haemorrhage: a case series and management recommendations

Document Type

Article

Publication Title

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology

Abstract

Primary atony of the lower uterine segment appears to be a distinct cause of postpartum haemorrhage. We report a case series of women with postpartum haemorrhage where ultrasound and clinical findings revealed a well contracted fundus and upper uterine segment and a ballooned out lower uterine segment, a condition we have called primary atony of the lower uterine segment. We hope that this case series will lead to increased recognition of this condition, stimulate others to report their experience and lead to additional studies to better characterise this entity, and develop more effective therapies.

First Page

628

Last Page

32

DOI

10.1080/01443610903114493

Publication Date

10-1-2009

Identifier

19757269 (pubmed); 10.1080/01443610903114493 (doi); 914970177 (pii)

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