{"id":2872,"date":"2021-05-14T03:28:19","date_gmt":"2021-05-14T03:28:19","guid":{"rendered":"https:\/\/enorcerna.com\/wiki\/definition\/atony\/"},"modified":"2021-05-14T03:28:19","modified_gmt":"2021-05-14T03:28:19","slug":"atony","status":"publish","type":"post","link":"https:\/\/enorcerna.com\/wiki\/definition\/atony\/","title":{"rendered":"atony"},"content":{"rendered":"<div>\n<p><img decoding=\"async\" loading=\"lazy\" loading=\"lazy\" src=\"https:\/\/enorcerna.com\/wiki\/wp-content\/uploads\/2021\/05\/atonia.jpg\" alt=\"Atony\" width=\"225\" height=\"156\" class=\"alignright size-full wp-image-40495\" align=\"right\"\/>The concept of <strong>sluggishness<\/strong> It refers to the <strong>lack<\/strong> from <strong>force<\/strong> or <strong>Energy<\/strong>.  The term is often used in the field of medicine to refer to the <strong>muscle or tissue weakness<\/strong>.<\/p>\n<p>The <strong>Uterine atony<\/strong>, in this framework, consists of the loss of vigor of the muscles of the <strong>uterus<\/strong>, a particularity that prevents the contraction of the organ.  This atony causes that, after childbirth, the uterus does not contract as it should to close the blood vessels.<\/p>\n<p>At the time of giving birth, when the woman delivers the baby and expels the placenta, a process of uterine contraction begins to develop that <strong>minimizes postpartum bleeding<\/strong>.  If the mechanism is not carried out, uterine atony is generated with profuse bleeding and the appearance of clots and bruises that cause pain to the <strong>woman<\/strong>.  As if this were not enough, the lack of intervention in a case of uterine atony can lead to death.<\/p>\n<p>Among the reasons that can cause uterine atony, are the following:<\/p>\n<p><strong>*<\/strong> lack of oxytocin, the hormone secreted by the <strong>organ<\/strong> called <em>hypophysis<\/em> to collaborate with the contraction of the uterus and the rise of the milk;<\/p>\n<p><strong>*<\/strong> multiple pregnancies.  This has been proven through various statistics, since in such a case the uterine fiber must acquire a greater elasticity than is necessary to deliver a single baby;<\/p>\n<p><strong>*<\/strong> large babies, a phenomenon that has consequences similar to those of the previous point;<\/p>\n<p><strong>*<\/strong> placental accreta, <strong>adherence<\/strong> abnormality from the placenta to the wall of the uterus.  Given this problem, it has been observed that it is very difficult to extract the placenta;<\/p>\n<p><strong>*<\/strong> history of this same disorder;<\/p>\n<p><strong>*<\/strong> late delivery of the placenta, that is, when the exit of the fetal appendages and the <strong>placenta<\/strong> takes more than 20 minutes.  This can happen for a number of reasons, such as the baby is not very full term and the placenta is too attached to the uterus to prevent it from falling out.<\/p>\n<p><strong>*<\/strong> a <strong>Birth<\/strong> very extensive, a multiple pregnancy causing excessive distention and the presence of a benign tumor known as a fibroid.<\/p>\n<p>It is important to note that <strong>it is not possible to prevent uterine atony before delivery<\/strong>, and for this reason the <strong>intervention<\/strong> immediate.  This does not mean that the experience of professionals helps them to intuit the presence of this complication, but in general they do not have much time to act.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" loading=\"lazy\" src=\"https:\/\/enorcerna.com\/wiki\/wp-content\/uploads\/2021\/05\/Atonia.jpg\" alt=\"Atony\" width=\"243\" height=\"200\" class=\"alignnone size-full wp-image-48609\"\/>Many hospitals have opted for the <em>directed delivery<\/em>, which consists of administering a drug to the mother as soon as the baby has left the uterus, to promote <strong>contraction<\/strong>.  Since atony does not always appear as soon as delivery has occurred, it is also normal to monitor the mother for a minimum of two hours, until ensuring that the constants have normalized.<\/p>\n<p>To treat atony, it is possible to resort to massages, the supply of drugs (such as exogenous oxytocin) or a surgical intervention, depending on the case.  The <strong>massage<\/strong> It is the first measure that establishes the protocol to react to abnormal bleeding, and it is carried out by rubbing the gut;  it can also be combined with one from inside the uterus, in what is known as <em>bimanual maneuver<\/em>.<\/p>\n<p>Atony can also be <strong>gastrointestinal<\/strong> (usually as the effect of an operation), <strong>bladder<\/strong> (consequence of <strong>anesthesia<\/strong>, to cite one possibility) or otherwise.<\/p>\n<p>Beyond the <strong>medicine<\/strong>, the idea of \u200b\u200batony is used as a synonym for <strong>apathy<\/strong> or from <strong>unwillingness<\/strong>: <em>\"Adolescent atony worries psychologists\"<\/em>, <em>\"When they fired me, I was lying in bed for several months, a victim of atony\"<\/em>.<\/p>\n<\/div>\n\n\n<div class=\"kk-star-ratings kksr-auto kksr-align-center kksr-valign-bottom\"\n    data-payload='{&quot;align&quot;:&quot;center&quot;,&quot;id&quot;:&quot;2872&quot;,&quot;slug&quot;:&quot;default&quot;,&quot;valign&quot;:&quot;bottom&quot;,&quot;ignore&quot;:&quot;&quot;,&quot;reference&quot;:&quot;auto&quot;,&quot;class&quot;:&quot;&quot;,&quot;count&quot;:&quot;0&quot;,&quot;legendonly&quot;:&quot;&quot;,&quot;readonly&quot;:&quot;&quot;,&quot;score&quot;:&quot;0&quot;,&quot;starsonly&quot;:&quot;&quot;,&quot;best&quot;:&quot;5&quot;,&quot;gap&quot;:&quot;4&quot;,&quot;greet&quot;:&quot;Rate this post&quot;,&quot;legend&quot;:&quot;0\\\/5 - (0 votes)&quot;,&quot;size&quot;:&quot;24&quot;,&quot;title&quot;:&quot;atony&quot;,&quot;width&quot;:&quot;0&quot;,&quot;_legend&quot;:&quot;{score}\\\/{best} - ({count} {votes})&quot;,&quot;font_factor&quot;:&quot;1.25&quot;}'>\n            \n<div class=\"kksr-stars\">\n    \n<div class=\"kksr-stars-inactive\">\n            <div class=\"kksr-star\" data-star=\"1\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; 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