P3A0 Post Partum Hemorrhage Caused by Uterine Atony: Case Report


  • Alandra Rizhaqi Vastra Mahasiswa profesi dokter FK Unila
  • Ikhlas Taufik
  • Nurul Islamy




Post Partum Hemmorrage, Uterine Atony


Postpartum haemorrhage is a state of blood loss >500 ml through vaginal delivery, or >1000 ml in caesarean section after delivery. One of the most common causes of postpartum hemorrhage is uterine atony. Uterine atony is a condition of weak uterine tone that causes the uterus to be unable to close the bleeding from the placental implantation site after the baby and placenta are born. Mrs. RF, 36 years old, came to the ER of RS Abdul Moeleok with postpartum bleeding since ± 2 hours before entering the hospital. The patient gave birth vaginally with the help of a midwife and experienced postpartum bleeding due to the absence of adequate uterine contractions (uterine atony) after delivery. The patient was treated with oxytocin and misprostol and the bleeding was resolved.

Author Biographies

Ikhlas Taufik



Nurul Islamy




Destariyani E. Faktor-Faktor Yang Berhubungan Dengan Kala II Lama. J Media Kesehatan. 2016;9(1):001-113.

Cunningham FG, Leveno KJ, Dashe JS, Hoffman BL, Spong CY, Casey BM. Obstetri Williams. Edisi ke-23. Jakarta: EGC; 2016.

Prawirodiharjo S. Ilmu Kebidanan. Jakarta: PT Bina Pustaka; 2016.

Luthfiana N, Sari RDP, Yudho A. Penatalaksanaan Ekstraksi Vakum pada Multigravida dengan Riwayat Seksio Sesarea Atas Indikasi Letak Lintang. Medula. 2019;8(2):89.

Flamm BL, Geiger AM. Vaginal birth after cesarean delivery: an admission scoring system. Obstettics & Gynecology. 1997;90(6):907-910.

Mannuaba, Chandranita M, Fajar M. Pengantar Kuliah Obstetri. Jakarta: EGC; 2017.

Bateman BT, Berman MF, Riley LE, Leffert LR. The Epidemiology of Postpartum Hemorrhage in a Large, Nationwide Sample of Deliveries. Society for Obstetric Anesthesia and Perinatology. 2010;110(5):1368-73.

Gill P, Patel A, Van Hook JW. Uterine Atony [Internet]. Treasure Island: StatPearls Publishing; 2021 [diperbarui tanggal 2 November 2021, disitasi tanggal 18 Desember 2021]. Tersedia dari: https://www.ncbi.nlm.nih.gov/books/NBK493238/.2020.

The American College of Obstetricians and Gynecologists. Definition of Term Pregnancy. America: The American College of Obstetricians and Gynecologists; 2017.

Breathnach F, Geary M. Uterine Atony: Definition, Prevention, Nonsurgical management, and uterine tamponade. Semin Perinatology. 2009;33(2):82-7.

Gohil JT, Tripathi B. A Study to Compare the Efficacy of Misoprostol, Oxytocin, Methylergometrine and Ergometrine-Oxytocin in Reducing Blood Loss in Active Management of 3rd Stage of Labor. J Obstet Gynaecol India. 2011;61(4):408-12.

Perkumpulan Obstetri dan Ginekologi Indonesia (POGI). Pedoman Nasional Pelayanan Kedokteran Perdarahan Pasca-Salin. Himpunan Kedokteran Feto Maternal; 2016.

Hill S, Yang A, Bero L. Priority Medicines for Maternal and Child Health: A Global Survey of National Essential Medicines Lists. PLoS ONE. 2012;7(5):e38055.

Afolabi EO, Kuti O, Orji EO, Ogunniyi SO. Oral Misoprostol Versus Intramuscular Oxyocin in the Active Management of the Third Stage of Labour. Singapore Med J. 2010;51(3):207-11.

Anderson JM, Etches D. Prevention and Management of Postpartum Hemorrhage. Am Fam Physicians. 2007;75(6):875-82.



How to Cite

Alandra Rizhaqi Vastra, Taufik, I. ., & Islamy, N. (2023). P3A0 Post Partum Hemorrhage Caused by Uterine Atony: Case Report. Medical Profession Journal of Lampung, 13(6), 989-995. https://doi.org/10.53089/medula.v13i6.809