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Uterine atony

  • Sx

    • postpartum bleeding
  • Tx

    • pitocin 50 u in 1 L NS
    • methergine 0.2 mg IM (contraindicated in HTN)
    • hemabate 250 mcg IM q 15-90min x 8 doses max
    • uterine massage
  • Tx if above fails

    • B-lynch suture
    • uterine artery ligation/embolization
    • hysterectomy (last resort)

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