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Beau Wright
Beau Wright

Atonicity !!LINK!!


Background: Uterine atony is one of the leading causes of maternal morbidity and mortality. Uterine atony and PPH is a life threatening condition. The oxytocic drugs increase uterine tone by increasing intracellular calcium. Optimum levels of calcium are very important for the effective uterine contraction. Objective of this study was to correlate the serum calcium levels and uterine atonicity and PPH in women admitted in 1st and 2nd stage of labor in tertiary care hospital like Sri Chamarajendra hospital Hassan institute of medical sciences, Karnataka, India.




atonicity



Methods: Study design is case control study in department of OBG Sri Chamarajendra hospital Hassan. Duration of study is from July 2014 to 2015. Number of subjects studied 200 groups A with serum calcium less than 8 mg% and uterine atony. Group B with serum calcium between 8-10.4 mg% and uterine atony, after vaginal delivery or caesarian delivery. Features of atonicity: soft distended uterus with lack of muscle tone.


Yes, atonicity is a reversible phenomenon, and it is something that you should not be desperate about. As long as your facial nerve is still recovering, atonicity may be present. The facial nerve may continue to recover for a long time, for several years.


Tamsulosin is an alpha(1)-adrenergic antagonist known to be linked with intraoperative floppy-iris syndrome (IFIS), which is characterized by iris atonicity and a propensity toward progressive intraoperative pupil constriction and iris prolapse. We present 2 strategies for managing IFIS-associated iris prolapse. Placement of a single subincisional iris retractor following reposition of the prolapsed iris was the more successful approach. We recommend consideration of this approach in all cases of iris prolapse.


How is this helpful? Well, it shows you the anagrams of atonicity scrambled in different ways and helps you recognize the set of letters more easily. It will help you the next time these letters, A T O N I C I T Y come up in a word scramble game.


The most common indication for EPH in our study was atonic postpartum haemorrhage, followed by adherent placenta and rupture uterus. This is consistent with studies reporting a similar low incidence of EPH [3,6]. In contrast, some studies reported rupture uterus to be the most common indication for EPH, followed by placental causes and uterine atonicity [8,10,12,15]. This observation could be related to the higher incidence of grand multiparity seen in these studies. Cho GJ et al., and Chen J et al., observed a change in most common indication from atony to abnormal placentation, which could be attributed to their high rate of caesarean sections [7,9].


Objectives: To evaluate the efficacy of a condom as a tamponade for intrauterine pressure to stop massive postpartum hemorrhage (PPH). Design and Setting: This prospective study was done in the Obstetrics and Gynecology Department of Dhaka Medical College and Hospital, Bangladesh, between July 2001 and December 2002. Patients: During the study period, 152 cases of PPH were identified; 109 were managed medically; 20 were managed using the B-Lynch procedure, and 23 were managed using the condom catheter. Patients were selected for intervention with the condom catheter when PPH that occurred as a result of atonicity or morbid adhesion (accreta) could not be controlled by uterotonics or a surgical procedure. In patients who were in shock due to massive hemorrhage, a condom catheter was introduced immediately without prior medical management. Intervention: With aseptic precautions, a sterile rubber catheter fitted with a condom was introduced into the uterus. The condom was inflated with 250-500 mL normal saline, according to need. The condom catheter was kept for 24-48 hours, depending upon the initial intensity of blood loss, and gradually deflated when bleeding ceased. Main outcome measures: (1) Ability of condom catheter to stop bleeding; (2) time required to stop bleeding after the tamponade was applied; (3) subsequent morbidity in terms of severe infection, despite use of prophylactic antibiotics. Results: In all 23 cases in which the condom catheter was used, bleeding stopped within 15 minutes. No patient needed further intervention. No patient went into irreversible shock. There was no intrauterine infection as documented by clinical signs and symptoms and culture and sensitivity of high vaginal swab. Conclusion: The hydrostatic condom catheter can control PPH quickly and effectively. It is simple to use, inexpensive, and safe. In developing countries where PPH remains a primary cause of maternal mortality, any healthcare provider involved in delivery may use this procedure for controlling massive PPH to save the lives of patients.


During the study period, 152 cases of PPH were identified; 109 were managed medically, 20 were managed using the B-Lynch suture (named after its innovator[2,9]) during cesarean section, and 23 were managed using the condom catheter. Patients in whom PPH due to atonicity or morbid adhesion (accreta) could not be controlled by medical treatment or the surgical approach were selected for intervention with the condom catheter. Bimanual compression was given, but aortic compression was not attempted. 041b061a72


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