The Relationship Between Preeclampsia And Uterine Atony?

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I want to ask … what is the relationship between uterine atony and preeclampsia?

1 Answer:

Hello Anggi, thank you for the question to HealthReplies.com

Preeclampsia can increase the risk of post partum hemorrhage. Post partum hemorrhage itself can be caused by various things, uterine atony is one of them, other possible causes are tear in the uterus, left placenta, and blood clotting disorders. Preeclampsia so far has not been used as one of the risk factors for uterine atony because the research conducted regarding the relationship between the two is still very varied results. It is not yet clear whether the cause of uterine atonia in women with preeclampsia is its own preeclampsia, or is it caused by other factors, such as the use of magnesium sulfate as a prevention of seizures in pregnant women with preeclampsia. Magnesium sulfate itself is known to increase the risk of post partum hemorrhage through several mechanisms, namely vasodilation (dilation of blood vessels), tocolytic effect (preventing uterine contractions), and inhibition of platelet activation. The tocolytic effect of this drug which in theory can increase the risk of uterine atony.

Although it is not clear whether preeclampsia can increase the risk of uterine atony, preeclampsia can increase the risk of post partum hemorrhage through other mechanisms. Women with preeclampsia can experience a dangerous complication called HELLP syndrome (hemolysis, elevated liver enzymes, low platelet count). In this condition, post partum hemorrhage can occur due to low platelet counts so that the blood clotting process can be disrupted. Also note that normally, pregnant women will experience an expansion in blood volume. This expansion of blood volume causes considerable bleeding when labor does not cause circulation problems (blood circulation) during labor. In women who have preeclampsia, this blood volume expansion is not as much (inadequate) as pregnant women without preeclampsia, so that even the slightest amount of bleeding can potentially cause circulation disorders.

Here are the articles that you can read about uterine atony

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