&
UTERINE ATONY TREATMENT
MEDICATION
MANAGEMENT HEALTH TEACHING
Generic Name: Methylergonovine
Brand Name: Methergine
pain intensity decreased markedly
from the first minutes after dosing.
May be repeated as required, at
intervals of 2-4 hours. 1 mL, 0.2
mg, administered slowly over a
period of no less than 60 seconds
Keys to remember
Do not use methylergonovine during
pregnancy. Do not breast-feed within 12
hours after taking methylergonovine.
Nursing Consideration
Methylergonovine can enter breast milk
in small amounts and may harm a
nursing baby. The patient may need to
use this medication for up to a week
after your baby is born in some cases or
use a breast pump to start and keep the
milk circulation until the
methylergonovine treatment is finished.
EXERCISE
Kegel exercises strengthen the
pelvic-floor muscles, including
muscles under the uterus, bladder,
and bowel.
Do Kegel exercises 3 times a day:
1. Make sure your bladder is empty,
then sit or lie down.
2. Tighten your pelvic floor muscles.
Hold tight and count 3 to 5
seconds.
3. Relax the muscles and count 3 to
5 seconds.
4. Repeat 10 times, 3 times a day
(morning, afternoon, and night).
Breathe deeply and relax your
body when doing these exercises.
Make sure you are not tightening
your stomach, thigh, buttock, or
chest muscles.
Exercise as soon as the doctor
authorizes it.
TREATMENT
Treatment aims to stop the bleeding
and replacing the blood that was
lost.
Mother may either be given
intravenous fluids, blood, and blood
products as soon as possible.
Medication (to stimulate uterine
contractions)
Removal of any remaining placental
fragments in the uterus
Uterus and other pelvic structures
are examined.
Other treatment for atony of the uterus:
Uterine Massage
Taking uterotonic drugs
Blood transfusions
Severe cases, treatments would be:
Performing surgery to tie off the
blood vessels
Uterine artery embolization
Hysterectomy
Perform Laparotomy surgery
 HYGIENE
1. Practice proper
handwashing
2. For perineal care:
a. When you urinate or have a
bowel movement, clean the
perineal area from front to
back.
b. Each time you go to the
restroom, use a fresh peri-
pad.
3. For bathing:
a. Always make sure to take a bath.
b. You can opt for a warm sitz bath,
wherein you sit in warm and
shallow water. Do this for 2-3
times a day for 10 to 15 minutes.
4. Environment:
a. Maintain a clean and safe
atmosphere.
OUTPATIENT DIET
Instruct the client to: Physicians, Clinical Dietitians, and
Nutritionist would suggest patients
set a complete postpartum checkup with her
to have a well-balanced diet with
provider no later than 12 weeks after giving
adequate calories and good quality
birth.
protein, foods rich in iron, folic acid,
create a postpartum care plan with her provider
Vitamin B12, Vitamin C needs to be
and talk about her postpartum care team.
taken.
do a blood test to check her hemoglobin levels,
Highly colored
as advised by her provider.
foods, dark green
strictly adhere to the drug regimen.
leafy vegetables,
seek assistance if she exhibits severe signs and
and Iron
symptoms of postpartum depression.
supplements are
have enough rest and avoid heavy or strenuous
recommended as
activities for at least 2 months to prevent any
these are rich in iron.
complications, and stitches from opening.
Educate the client about: Drinking tea or coffee
postpartum signs and symptoms that require with your meals is not
prompt medical attention. advised.
High fiber diet can affect iron
absorption.
Avoiding refined and
processed foods is suggested.
Foods that are safe to eat on a well-
balanced diet includes:
Green leafy vegetables like spinach
Black-eyed beans, cluster beans
Shellfish, liver, fish, egg