Obstetrics and care in hypotonic and atonic uterine bleeding

Abstract

Introduction: According to a study by the World Health Organization (WHO), postpartum
hemorrhage, along with preeclampsia, remains one of the leading causes of maternal mortality worldwide.
Aim: To present a clinical case of a postpartum patient with hemorrhage due to uterine hypotonia in the
obstetric department of SAGBAL “Eva” Ltd. – Sliven, Bulgaria, and based on this case, to develop an
algorithm for midwifery interventions, nursing care, and preventive measures. Materials and Methods: The
article presents a clinical case of postpartum hemorrhage observed in a patient in the obstetric department
of SAGBAL “Eva” Ltd. – Sliven, with analysis of the applied clinical and nursing interventions. Discussion: An
algorithm for midwifery actions and nursing care was developed in accordance with the patient’s condition
and based on the recommendations of FIGO and WHO. Conclusion: The majority of maternal deaths occur
during or immediately after childbirth – a period requiring timely and competent intervention. Hypotonic and
atonic uterine bleeding are preventable through the use of standardized clinical algorithms, staff training, and
prompt response. The midwife, as the primary healthcare provider during delivery, plays a crucial role – from
early recognition of symptoms to the execution of life-saving interventions in critical situations.