Uterine atony may be associated with post-partum hemorrhage in woman having a Cesarean section. A number of risk factors may increase the risk for hemorrhage. The authors are from Stanford University.

Patient selection: uterine atony following Cesarean section


Hemorrhage morbidity: need for transfusion, coagulopathy, ARDS


Risk factors for hemorrhagic complications:

(1) Afro-American or Hispanic race

(2) multiple gestations

(3) placenta praevia

(4) ASA class III or IV

(5) general anesthesia with or without regional anesthesia

(6) 2 or more previous Cesarean sections


In addition, obesity with BMI > 37.7 was protective.

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