What would a boggy uterus indicate?
Boggy uterus refers to a clinical finding in which the uterus is identified as enlarged and soft. The uterus, a muscular organ of the reproductive system, is capable of stretching in order to accommodate a growing fetus.
Is boggy uterus normal?
A hypotonic uterus, or "boggy" uterus, is among the most common obstetrical conditions which may cause postpartum infection and postpartum hemorrhage (PPH).
What can you do for a boggy uterus?
With a boggy uterus, continue to massage and administer uterotonics to increase uterine contraction. Give oxytocin, an analogue of the identically named endogenous hormone, 20-40 units in 1 L lactated Ringer (LR) at 600 mL/h to maintain uterine contraction and to control hemorrhage.
What does boggy feel like?
A bog is described as a wet ground too soft to support a heavy body. Now, in medical terms, 'boggy' refers to abnormal texture of tissues characterized by sponginess, usually because of high fluid content.
What does a soft uterus mean in pregnancy?
A soft cervix is usually nothing to worry about. In fact, your cervix naturally gets softer during ovulation. It also gets softer as a pregnancy progresses. However, if you're pregnant, a soft cervix when you're not close to full term can raise your risk of preterm labor.
Can urine retention cause uterine atony?
Postpartum urinary retention can damage detrusor muscles and parasympathetic nerves of the bladder wall and change detrusor function, as well. Also, increased levels of progesterone during pregnancy and the early puerperium period might cause bladder atony and facilitate detrusor damage (12, 18, 19).
Who is at risk for uterine atony?
Risk factors for uterine atony include uterine overdistention secondary to hydramnios, multiple gestation, use of oxytocin, fetal macrosomia, high parity, rapid or prolonged labor, intra-amniotic infection and use of uterine-relaxing agents.
What medications are used for uterine atony?
Initial Medical TreatmentOxytocin (Pitocin) can be given IV 10 to 40 units per 1000 ml or 10 units intramuscularly (IM). ... Methylergonovine (Methergine) given IM 0.2 mg. ... 15-methyl-PGF2-alpha (Hemabate) given IM 0.25 mg. ... Misoprostol (Cytotec): 800 to 1000 mg placed rectally.More items...•
What happens if your uterus doesn't contract after birth?
After the placenta is delivered, these contractions help put pressure on the bleeding vessels in the area where the placenta was attached. If the uterus does not contract strongly enough, these blood vessels bleed freely. This is the most common cause of postpartum hemorrhage.