Prospective Study of Association of Uterine Atonicity and Serum Calcium Levels
Prospective Study of Association of Uterine Atonicity and Serum Calcium Levels
Prospective Study of Association of Uterine Atonicity and Serum Calcium Levels
DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20162097
Research Article
Department of Obstetrics and Gynaecology, Hassan Institute of Medical Sciences Hassan, Karnataka-573201, India
*Correspondence:
Dr. Premalahta HL,
E-mail: premalatha.gowda@yahoo.in
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ABSTRACT
Background: Uterine atony is one of the leading causes of maternal morbidity and mortality. Uterine atony and PPH
is a life threatening condition. The oxytocic drugs increase uterine tone by increasing intracellular calcium. Optimum
levels of calcium are very important for the effective uterine contraction. Objective of this study was to correlate the
serum calcium levels and uterine atonicity and PPH in women admitted in 1st and 2nd stage of labor in tertiary care
hospital like Sri Chamarajendra hospital Hassan institute of medical sciences, Karnataka, India.
Methods: Study design is case control study in department of OBG Sri Chamarajendra hospital Hassan. Duration of
study is from July 2014 to 2015. Number of subjects studied 200 groups A with serum calcium less than 8 mg% and
uterine atony. Group B with serum calcium between 8-10.4 mg% and uterine atony, after vaginal delivery or
caesarian delivery. Features of atonicity: soft distended uterus with lack of muscle tone.
Results: Total 200 clients were studied. 100 clients with serum calcium >8 mg% and 100 clients with serum calcium
<8 mg%. In women with serum calcium <8 mg%, 24 patients developed uterine atonicity. In women with serum
calcium > 8 mg% only one client developed uterine atonicity.
Conclusions: Our result revealed that low calcium level is strongly associated with uterine atony, hence is a risk
factor for uterine atony.
result in atonic uterus and PPH. So present study is patients developed uterine atonicity. In women with
conducted to determine the association of serum calcium serum calcium >8 mg% only one client developed uterine
levels with uterine atony in a tertiary care hospital. atonicity.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology Volume 5 · Issue 7 Page 2222
Premalahta HL et al. Int J Reprod Contracept Obstet Gynecol. 2016 Jul;5(7):2221-2223
International Journal of Reproduction, Contraception, Obstetrics and Gynecology Volume 5 · Issue 7 Page 2223