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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