Uterine atony: Current trends in invasive treatment

Uterine atony is the leading cause of postpartum hemorrhage. The etiological mechanism has not been fully clarified. Various predisposing risk factors either pre-existing in pregnancy or appearing during pregnancy have been blamed to date for causing postpartum hemorrhage and uterine atony. The diagnosis of uterine atony is clinical. The diagnosis presupposes the confirmed emptying of the endometrial cavity and the exclusion of traumatic etiology bleeding from the genital system. The multidisciplinary treatment after the early recognition of bleeding it is useful to focus on achieving satisfactory uterine contraction with administration matrix contraceptives (oxytocin, erysipelas alkaloids, prostaglandin, carbetocin) and in maintaining its hemodynamic stability with the use of preservatives (massages, double compression of the uterus) and surgical techniques . The tamponade balloon Bakri, the package from gauzes, several types of hemostatic sutures, ligation of internal iliac arteries, uterine arteries embolism and obstetric hysterectomy are older and newer techniques included in the modern invasive treatment of uterine atony .In this article based on recent bibliography is attempted a review of this obstetric complication, regarding its basic principles of invasive treatment, the timely and correct application of which can yield the best possible result and ensure the best health of mother.