Journal articles: 'Hemorrhage, uterine'

1

Correia Costa, Susana, Pedro Viana Pinto, Paulo Morgado, and Nuno Montenegro. "Uterine Artery Laceration after Vacuum Delivery." Acta Médica Portuguesa 34, no. 12 (December 2, 2021): 864. http://dx.doi.org/10.20344/amp.13399.

Full text

Abstract:

Post-partum hemorrhage is one of the leading causes of maternal mortality and it’s etiology needs to be identified in order for adequate treatment to be provided. We report a case of a post-partum hemorrhage in a multiparous woman treated with selective coil packing embolization after identification of laceration of the right uterine artery’s ascending branch. The patient was admitted to an intensive care unit in hemorrhagic hypovolemic shock and disseminated intravascular coagulation and underwent total hysterectomy due to infectious complications.

APA, Harvard, Vancouver, ISO, and other styles

2

Gavit, Yogita B., and Deepika Sharma. "Secondary postpartum hemorrhage on day 58 of cesarean section due to uterine scar rupture." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 11 (October 27, 2020): 4762. http://dx.doi.org/10.18203/2320-1770.ijrcog20204854.

Full text

Abstract:

Secondary postpartum hemorrhage is rare and affect 0.23-3% of all pregnancies. It happens between 24 hours to 12 weeks of post-delivery. These postpartum hemorrhages occur more often during normal vaginal delivery only a small subset of postpartum hemorrhages occurs after cesarean section. Delayed postpartum hemorrhage is obstetrics emergencies that occurs following vaginal or cesarean delivery, in later condition may be caused by dehiscence of uterus incision after cesarean section which can lead to severe and fatal bleeding. We herein report a case of secondary postpartum hemorrhage after cesarean section.

APA, Harvard, Vancouver, ISO, and other styles

3

Blanca, María Isabel, and José Galiano. "http://www.sogvzla.org.ve/sogvzla20186/cms/svcobtenerpdfrevista.php?id=0000000104&tipo=normal&fila=3." Revista de Obstetricia y Ginecología de Venezuela 81, no. 03 (September 25, 2021): 200–208. http://dx.doi.org/10.51288/00810304.

Full text

Abstract:

Objective: To evaluate the outcome of the B-Lynch technique as a treatment for postpartum hemorrhage due to intraoperative uterine atony in patients of the Obstetrics and Gynecology Department of the Dr. Miguel Pérez Carreño Hospital. Methods: Descriptive cut study, with a field design, transversal and prospective. The sample consisted of 60 patients who presented intraoperative uterine atony, the B-Lynch technique was applied and they were treated at the Obstetrics and Gynecology Department of the Dr. Miguel Pérez Carreño Hospital, during the period March 2016 - March 2017. Results: Average age of 26 years was evidenced, patients with II pregnancies, gestational age at term and controlled pregnancies predominated, with previous hemoglobin and hematocrit values with a posterior average lower than that before surgery. In 100 % of the cases, the hemorrhagic problem was successfully resolved, with the patients being discharged from the hospital. Conclusion: The B-Lynch technique proved to be an easy, fast and successful procedure in the management of postpartum hemorrhage due to intraoperative uterine atony, which is why its use is recommended. Keywords: B-Lynch, Uterine Atony, Postpartum Hemorrhage, Intraoperative

APA, Harvard, Vancouver, ISO, and other styles

4

Nam, So-Hyun, Mi-Young Lee, Nu-Ri Yang, Hye-Sung Won, and Kye-Jin Park. "Uterine Necrosis after Uterine Artery Embolization for Postpartum Hemorrhage." Perinatology 31, no. 2 (2020): 81. http://dx.doi.org/10.14734/pn.2020.31.2.81.

Full text

APA, Harvard, Vancouver, ISO, and other styles

5

Babazhanova, Shakhida D., Adelina S. Lyubchich, and Natalya I. Lyubchich. "Efficacy of using controlled uterine balloon tamponade for stopping atonic postpartum hemorrhage." Journal of obstetrics and women's diseases 71, no. 1 (January 15, 2022): 5–10. http://dx.doi.org/10.17816/jowd46050.

Full text

Abstract:

BACKGROUND: Obstetric hemorrhage remains the leading cause of maternal mortality in Uzbekistan, with uterine atony in the follow-up and postpartum periods being the most common cause. AIM: The aim of this study was to evaluate the effectiveness of using uterine balloon tamponade in atonic postpartum hemorrhage. MATERIALS AND METHODS: This clinical controlled study was conducted at the Republican Perinatal Center of the Ministry of Health of the Republic of Uzbekistan from 2016 to 2019. Uterine balloon tamponade using a Zhukovsky balloon was used in 50 puerperas with atonic postpartum hemorrhage, of whom 40 women had vaginal delivery and ten patients were delivered by caesarean section. The control group consisted of 50 puerperas with atonic postpartum hemorrhage, traditional therapy being carried out without the use of uterine balloon tamponade, of whom 40 women had vaginal delivery and ten patients were delivered by caesarean section. RESULTS: The total volume of blood loss in the main group was lower than in the control group: 998 142 ml vs. 1498 202 ml in vaginal delivery (Students t-test 2.01, p = 0.047563) and 1297 244 ml vs. 1988 226 ml at caesarean section (Students t-test 2.11, p = 0.039463), respectively. Uterine balloon tamponade allowed for stopping postpartum hemorrhage in the blood loss range of 750999 ml and 10001499 ml in 27.5% and 52.5% of cases in the main group and in 20% and 30% of cases in the control group (OR 1.517, 95 % CI 1.5364.293 and OR 2.579, 95% CI 1.0306.457, respectively). When using uterine balloon tamponade, the proportion of massive bleeding with blood loss over 1500 ml was 3.8 times lower than in the control group: 10.0% (5/50) and 38% (19/50), respectively. Hysterectomy due to bleeding was performed in one (2%) postpartum woman in the main group, and in five (10%) puerperas in the control group (OR 0.184, 95% CI 1.0216.133). The use of the tamponade test resulted in a significant decrease in the number of severe bleeding incidents (with blood loss of 1500 ml or more) by 90% during vaginal delivery (OR 0.077, 95% CI 0.0090.635) and elevated the effectiveness of organ-preserving surgeries by 2.9 times, thus increasing the frequency of women with preserved uterus. CONCLUSIONS: The effectiveness of uterine balloon tamponade in atonic postpartum hemorrhage was 88.0% (44/50). The simplicity and safety of using uterine balloon tamponade indicates the need for a wider introduction of this technology in postpartum hemorrhages, which will help to reduce their adverse outcomes.

APA, Harvard, Vancouver, ISO, and other styles

6

Khan, Erum Saleem, and Ayesha Basharat. "Successful use of balloon tamponade in the management of postpartum hemorrhage in a case of bicornuate uterus." SAGE Open Medical Case Reports 6 (January 1, 2018): 2050313X1877617. http://dx.doi.org/10.1177/2050313x18776174.

Full text

Abstract:

Worldwide 50%–70% of all cases of maternal morbidity have been attributed to postpartum hemorrhage. This report discusses a case of bicornuate uterus in a term pregnancy. The delivery was by cesarean section, which was followed by massive postpartum hemorrhage, managed successfully with balloon tamponade. This is the second reported case of successful management of post partum hemorrhage in a bicornuate uterus with balloon tamponade. A 22-year-old primigravida at 39 weeks of gestational age presented with vaginal leaking of clear fluid. Cesarean section was done due to meconium stained liquor in early labor; with an incidental finding of bicornuate uterus followed by massive postpartum hemorrhage managed successfully with balloon tamponade. The use of uterine balloon tamponade as an effective method to control postpartum hemorrhage has been studied extensively, but use in cases of hemorrhage associated with uterine malformations has not been reported much in literature. Use of uterine balloon tamponade in case of uterine malformations has been highlighted in our case as an effective non-surgical method to control hemorrhage.

APA, Harvard, Vancouver, ISO, and other styles

7

Lestari, Mega, Pungky Mulawardhana, and Budi Utomo. "Faktor Risiko Kejadian Atonia Uteri." Pediomaternal Nursing Journal 5, no. 2 (September 4, 2020): 189. http://dx.doi.org/10.20473/pmnj.v5i2.13459.

Full text

Abstract:

Introduction: Postpartum Hemorrhage is one of the main cause of maternal morbidity and mortality worlwide. Every 4 minutes one woman is estimated dead by this case. The cause of postpartum hemorrhage is known as ‘4 T’s’ (tone, tissue, trauma, and thrombin). Common aetiology of hemorrhage postpartum is uterine atony. Uterine atony can be caused by several risk factors . The aim of this study is to determine the correlation between advanced maternal age, grande multiparity, uterine overdistension, labour augmented, and prolonged labour as risk factors with the incidence of uterine atony.Methods: This study was an analysis of observational study with case-control design conducted at a tertiary hospital in Surabaya. The population was all medical record of postpartum women who had hemorrhage in 2016-2018. The case group was postpartum woman who had hemorrhage due to uterine atony and the control group due to other causes. The sample size of the case group was 37 respondents and the control group was 35 respondents, they were obtained through purposive sampling. The independent variables in this study was maternal age, parity, uterine overdistension, labour augmented, and prolonged labour; the dependent variable was uterine atony. Univariate analysis was used to describe respondent’s characteristic and bivariate analysis was used to determine the correlation between risk factors and the incidence of uterine atony. Fisher Exact was used to analyze the data with α= 0,05.Results: Fisher Exact showed there was correlation between uterine overdistension and uterine atony (p value=0,036; OR= 4,423; 95% CI 1,023-27,267) on the other hand it showed no correlation between maternal age, parity, augmented labour, and prolonged labour with uterine atony (p value >0,05).Conclusion: Increased awareness of pre-conceptual care and early detection of risk factors are needed to reduce the risk factors of the incidence of uterine atony especially in uterine overdistension.

APA, Harvard, Vancouver, ISO, and other styles

8

Stănescu, Anca Daniela, Romina-Marina Sima, Denisa-Oana Bălălău, and Liana Pleș. "Management of caesarean section postpartum hemorrhage." Ginecologia.ro 20 (2), no. 1 (May 20, 2018): 10–13. http://dx.doi.org/10.26416/gine.20.2.2018.1706.

Full text

Abstract:

Introduction . Postpartum haemorrhage is an important cause of maternal mortality and morbidity. The most common causes are: uterine atonia, lacerations, abnormal placental adhesions and coagulopathy. Materials and method. We have reviewed international medical databases with randomized studies, meta-analyzes of current trends in postpartum hysterectomy and alternative techniques in postpartum hemorrhage. Results. The incidence of postpartum hemorrhage is 1% under a rapid therapeutic attitude. The treatment is directed to the cause. Thus, for initial uterine atony, pharmacological means and subsequent surgical gestures such as ligature of the uterine artery - O’Leary or ligature of the hypogastric artery are initiated. Sutura B-Lynch and its variants are designed to perform the compression of the uterus by mechanical force. Uterine balloons are designed to perform placental bleeding areas buffering. This is the most effective method because the catheter applies direct blood pressure to the bleeding site. Uterine bladder devices specifically designed for uterine tamponade after vaginal or caesarean birth include: Foley catheter, Bakri baloon, B-T Cath device and double-bladder device Ebb, which is also designed for cervical haemostasis. Interventional radiology requires advanced, minimally invasive management of postpartum hemorrhage. Conclusions . The use of uterotonics, pelvic vascular ligatures and balloon buffers are the first steps in the therapeutic approach to postpartum hemorrhage. Appropriate conduct consists of a pro-active attitude, often with a multidisciplinary team.

APA, Harvard, Vancouver, ISO, and other styles

9

Lara, Aída, Hecna Carrillo, Mayrin Martínez, and Jesús Veroes. "Taponamiento uterino artesanal con condón e innovador sistema de drenaje en el manejo de hemorragia posparto: a propósito de un caso." Revista de Obstetricia y Ginecología de Venezuela 81, no. 01 (March 23, 2021): 86–91. http://dx.doi.org/10.51288/00810112.

Full text

Abstract:

Postpartum hemorrhage is among the most frequent obstetric complications and with the highest mortality rate. Uterine atony is one of its main causes. Given the failure of medical management, non-invasive and less morbid therapeutic options such as uterine tamponade are of importance. In this report, we present a case of uterine atony managed with artisanal uterine tamponade with a condom, to which a drainage system is incorporated to quantify blood loss with the balloon in situ with satisfactory bleeding control. Keywords: Uterine tamponade, Postpartum hemorrhage, Uterine atony, Artisanal tamponade, Drainage tamponade.

APA, Harvard, Vancouver, ISO, and other styles

10

Chen, Lichun, Baohua Wu, Qing Han, and Jianying Yan. "Clinical analysis of emergency exploratory laparotomy in patients with intractable postpartum hemorrhage." Journal of International Medical Research 48, no. 2 (October 29, 2019): 030006051987929. http://dx.doi.org/10.1177/0300060519879294.

Full text

Abstract:

Objective This study was performed to explore the causes and clinical characteristics of emergency exploratory laparotomy in patients with intractable postpartum hemorrhage. Methods This retrospective study was performed from January 2004 to December 2017. Patients with intractable postpartum hemorrhage were grouped according to the initial pathogenesis as determined by exploratory laparotomy: uterine atony, placental factors, coagulation dysfunction, or uterine rupture. Results This study involved 72 patients who underwent emergency exploratory laparotomy, accounting for 0.04% of total deliveries. Uterine preservation surgery and hysterectomy were performed in 31 and 41 patients, respectively. Abnormal events upon returning to the ward were primarily vaginal hemorrhage and pelvic hematoma. The frequency of uterine artery ligation was lower in the hysterectomy group than uterine preservation group. The prothrombin activity level, fibrinogen level, and platelet count before surgery were lower in the hysterectomy group than uterine preservation group. The international normalized ratio and activated partial thromboplastin time were higher in the hysterectomy group than uterine preservation group. In total, 44 patients developed complications. Conclusion Placental implantation is a primary cause of hysterectomy after emergency laparotomy. However, the possibility of postpartum hemorrhage caused by coagulation disorders should not be ignored.

APA, Harvard, Vancouver, ISO, and other styles

11

Puangsricharoen, Pimpitcha, and Tarinee Manchana. "Conservative surgical management for immediate postpartum hemorrhage." Asian Biomedicine 13, no. 3 (December 30, 2019): 107–11. http://dx.doi.org/10.1515/abm-2019-0048.

Full text

Abstract:

Abstract Background Conservative surgical management for postpartum hemorrhage (PPH), such as balloon tamponade, uterine compression suture, and uterine artery ligation, has the benefit of preserving reproductive function. Objectives To assess the efficacy and subsequent pregnancy outcome of conservative surgical management for patients with immediate PPH. Methods Medical records of patients who had PPH between January 2011 and December 2016 were reviewed. Conservative surgical management included B-Lynch uterine compression suture, Bakri balloon tamponade, and uterine artery ligation. The treatments were considered successful if patients did not require subsequent hysterectomy. Perioperative complications and subsequent pregnancy outcomes were recorded. Results Of 30,271 deliveries, 669 patients experienced PPH or 2.2% of total deliveries. Sixty-one patients (9.1%) did not respond to medical treatment with various uterotonic agents. Hysterectomy was selected initially in 30 patients. Conservative surgical management was performed in 31 patients: 15 Bakri balloon tamponade, 13 uterine compression suture, and 3 uterine artery ligation. There were 3 patients who failed Bakri balloon tamponade and proceeded to perform uterine compression suture with successful outcome. The success rates for conservative surgical treatment were 66.7%, 75%, and 66.7%, respectively. All patients who had successful conservative surgical management resumed normal menstruation. Three out of 11 patients (27.3%) who desired subsequent pregnancy were able to conceive and carry out a viable pregnancy. Conclusion Conservative surgical management has acceptable success rates for controlling intractable immediate PPH. Implementation of such procedures should be done to preserve fertility and decrease maternal morbidity and mortality.

APA, Harvard, Vancouver, ISO, and other styles

12

Basir, Firmansyah, Hurin ‘Afina Gnd, Dwi Handayani, Hartati, and Hadrians Kesuma Putra. "Risk Factors for Uterine Atony in Postpartum Hemorrhage Patients at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia." Bioscientia Medicina : Journal of Biomedicine and Translational Research 6, no. 17 (January 16, 2023): 2891–94. http://dx.doi.org/10.37275/bsm.v6i17.719.

Full text

Abstract:

Background: Uterine atony can be life-threatening for a pregnant woman in labor and bleeding after delivery. It is important to explore the risk factors that can cause uterine atony in order to detect it early and take preventive measures. This study aimed to explore the risk factors for causing uterine atony in postpartum hemorrhage patients at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia. Methods: This study was an analytic observational study with a case-control approach. A total of 52 subjects (13 case group subjects and 39 control group subjects) participated in this study. Risk factor analysis was carried out with the help of SPSS version 25 in univariate and bivariate. Results: Maternal age at delivery is associated with the risk of uterine atony in postpartum hemorrhage patients. Mothers aged less than 20 years or more than 35 years are at risk of experiencing uterine atony by 5.8 times more at risk than mothers aged 20-35 years. The risk factors for parity, prolonged labor, macrosomia, gemelli, hydramnios, induction of labor, history of postpartum hemorrhage, and type of delivery were not associated with uterine atony in postpartum hemorrhage patients, p>0.05. Conclusion: The age of delivery of mothers who are less than 20 years or more than 35 years is a risk factor for uterine atony in postpartum hemorrhage patients at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia.

APA, Harvard, Vancouver, ISO, and other styles

13

Yeniel, Ahmet Ozgur, Ahmet Mete Ergenoglu, Ali Akdemir, Elmin Eminov, Fuat Akercan, and Nedim Karadadaş. "Massive Secondary Postpartum Hemorrhage with Uterine Artery Pseudoaneurysm after Cesarean Section." Case Reports in Obstetrics and Gynecology 2013 (2013): 1–4. http://dx.doi.org/10.1155/2013/285846.

Full text

Abstract:

Uterine artery pseudoaneurysm is a rare but serious complication of cesarean section. If inadequately treated, it can lead to life-threatening postpartum hemorrhage. Herein, we report the case of a 28-year-old woman who developed secondary postpartum hemorrhage resulting from uterine artery pseudoaneurysm and cesarean scar dehiscence after cesarean section. Angiographic embolization is a safe and effective procedure for treating postpartum hemorrhage resulting from pseudoaneurysm in hemodynamically stable patients. However, uterine artery ligation may be the surgical procedure of choice for hemodynamically unstable patients when fertility preservation is desired.

APA, Harvard, Vancouver, ISO, and other styles

14

Doumouchtsis, Stergios K., Aris T. Papageorghiou, and Sabaratnam Arulkumaran. "Postpartum hemorrhage and uterine balloon tamponade." Acta Obstetricia et Gynecologica Scandinavica 88, no. 4 (January 2009): 487–88. http://dx.doi.org/10.1080/00016340902748765.

Full text

APA, Harvard, Vancouver, ISO, and other styles

15

Baskett, Thomas F. "Uterine Compression Sutures for Postpartum Hemorrhage." Obstetrics & Gynecology 110, no. 1 (July 2007): 68–71. http://dx.doi.org/10.1097/01.aog.0000267499.40531.a4.

Full text

APA, Harvard, Vancouver, ISO, and other styles

16

Steinauer, Jody E., Justin T. Diedrich, Mark W. Wilson, Philip D. Darney, Juan E. Vargas, and Eleanor A. Drey. "Uterine Artery Embolization in Postabortion Hemorrhage." Obstetrics & Gynecology 111, no. 4 (April 2008): 881–89. http://dx.doi.org/10.1097/aog.0b013e3181685780.

Full text

APA, Harvard, Vancouver, ISO, and other styles

17

Myers, Tammy T. "Uterine Artery Embolization for Postpartum Hemorrhage." Journal of Radiology Nursing 35, no. 2 (June 2016): 142–45. http://dx.doi.org/10.1016/j.jradnu.2016.01.008.

Full text

APA, Harvard, Vancouver, ISO, and other styles

18

Winograd, Raúl Héctor. "Uterine artery embolization for postpartum hemorrhage." Best Practice & Research Clinical Obstetrics & Gynaecology 22, no. 6 (December 2008): 1119–32. http://dx.doi.org/10.1016/j.bpobgyn.2008.08.009.

Full text

APA, Harvard, Vancouver, ISO, and other styles

19

Walker, T. G. "Uterine Artery Embolization in the Treatment of Postpartum Uterine Hemorrhage." Yearbook of Diagnostic Radiology 2011 (January 2011): 243–46. http://dx.doi.org/10.1016/j.yrad.2011.02.037.

Full text

APA, Harvard, Vancouver, ISO, and other styles

20

Ganguli, Suvranu, Michael S. Stecker, Deveraj Pyne, Richard A. Baum, and Chieh-Min Fan. "Uterine Artery Embolization in the Treatment of Postpartum Uterine Hemorrhage." Journal of Vascular and Interventional Radiology 22, no. 2 (February 2011): 169–76. http://dx.doi.org/10.1016/j.jvir.2010.09.031.

Full text

APA, Harvard, Vancouver, ISO, and other styles

21

Gollapudi, Radhika, and S. Rammurty. "Selective Uterine Artery Embolization: An Effective Treatment Option for Postpartum Hemorrhage due to Pseudoaneurysm of Uterine Artery." Journal of South Asian Federation of Obstetrics and Gynaecology 9, no. 3 (August 2017): 283–86. http://dx.doi.org/10.5005/jp-journals-10006-1514.

Full text

Abstract:

ABSTRACT Aim To demonstrate the efficacy of uterine artery embolization in the management of postpartum hemorrhage (PPH) due to pseudoaneurysm of the uterine artery. Background Postpartum hemorrhage is a leading cause of maternal mortality in India. Secondary PPH is a rare cause but potentially life threatening. Common causes of secondary PPH are retained products of conception, subinvolution of uterus, and endometritis. Pseudoaneurysm is an uncommon cause of secondary PPH following operative delivery. Color Doppler ultrasound is a useful diagnostic tool and angiography is necessary to localize and treat by embolization. Case report We report two cases of secondary PPH due to pseudoaneurysm of uterine artery, which were managed by selective embolization of uterine artery. Conclusion Angiographic embolization of uterine artery is a safe and reliable technique for management of secondary PPH due to pseudoaneurysm. If diagnosed early, the need for hysterectomy is prevented. Clinical significance Uterine artery embolization has emerged as a simple, effective, and fertility-sparing treatment for PPH. How to cite this article Gollapudi R, Rammurty S. Selective Uterine Artery Embolization: An Effective Treatment Option for Postpartum Hemorrhage due to Pseudoaneurysm of Uterine Artery. J South Asian Feder Obst Gynae 2017;9(3):283-286.

APA, Harvard, Vancouver, ISO, and other styles

22

Sparic, Radmila, Biljana Lazovic, Nenad Sulovic, and Snezana Buzadzic. "Our experience with intraoperative cell salvage during cesarean delivery in women with uterine myomas: Four case reports." Medical review 67, no. 3-4 (2014): 111–17. http://dx.doi.org/10.2298/mpns1404111s.

Full text

Abstract:

Introduction. Cesarean section is more frequent in pregnant women with uterine myomas, and is usually complicated with perioperative hemorrhage. In some cases, cesarean myomectomy represents an inevitable surgery, adding risk of hemorrhage occurrence. Massive obstetric hemorrhage is the most common cause of maternal mortality and morbidity. The aim of this study was to show our experience and results of the implementation of intraoperative blood salvage during cesarean section in the patients with uterine myomas. Material and Methods. The study encompassed four patients with uterine myomas who had cesarean delivery at our Department in the period from 2010 to 2011. Results. Postoperative transfusion of packed red blood cells was given to one patient. No complications resulting form the intraoperative blood salvage were recorded in our research. Conclusion. Intraoperative blood salvage should be applied in patients with uterine myoma, and certainly in those who are planned for cesarean myomectomy and particularly in cases when massive intraoperative hemorrhage is expected.

APA, Harvard, Vancouver, ISO, and other styles

23

ALI, ROBINA, and FARZANA HINA. "POSTPARTUM HEMORRHAGE;." Professional Medical Journal 19, no. 03 (May 10, 2012): 360–64. http://dx.doi.org/10.29309/tpmj/2012.19.03.2143.

Full text

Abstract:

Introduction: Worldwide PPH remains one of the most common cause of maternal mortality and is largely preventable maternaldeaths mainly in low income countries. 80% of it occurs due to uterine atony and uterotonics can decrease the risk of uterine atony. Misoprostolhas powerful uterotonic effect because it is well absorbed and has potential to be used more widely than would be possible with injectableuterotonics alone. Objective: The objective of this study is to compare efficacy of misoprostol with ergometrine in cesarean delivery formanagement of PPH. Study Design: Randomized controlled trial. Duration of study: The duration of study was six months from 1/1/2010 to30th/6/2010. Setting: Department of Gynae and obstetrics, DHQ hospital, Faisalabad. Subjects and methods: All patients fulfilling inclusioncriteria were included in study and before cesarean section Hb was carried out and Patients were divided into two groups, GP , and GP . GP 1 2 1was given 800 ug MP per rectal just before starting cesarean Section and GP was given intravenous ergometrine at delivery of head or anterior 2shoulder. Blood loss was measured objectively after delivery of the baby with help of standard size kidney tray of 500cc and post operative Hbwas Carried out on 3rd post operative day. Results: 187 Patients were randomly allocated in GP and GP each. In GP , misoprostol was given 1 2 1800 μg per rectal just before starting cesarean section and 13 patients (7%) out of 187 have blood loss more than 500ml measured by standardsize kidney tray while in GP intravenous ergometrine was given at delivery of the head and in this group 25 patients (13.5%) out of 187 had 2blood loss more than 500ml, so misoprostol was found to be a better uterotonic than ergometrine for prevention of PPH. On the third postoperative day Hb was carried out and in GP 13 patients (7%) out of 187 had their Hb less than 9 g/dl while in GP 25 patients (13.5%) had Hb less 1 2than 9 g/d1. Conclusions: Mp is stable, cost effective and easily administrable drug and was found to be comparatively more powerfuluterotonic than ergometrine for preventing uterine atony.

APA, Harvard, Vancouver, ISO, and other styles

24

Rawal, S., and A. Rana. "Second Intervention in Obstetric Hemorrhage." Journal of Institute of Medicine Nepal 34, no. 1 (November 9, 2013): 18–24. http://dx.doi.org/10.3126/jiom.v34i1.9118.

Full text

Abstract:

Introduction: Obstetric hemorrhage is still one of the dreaded complications that contribute to a maximum number of maternal morbidity and mortality till date. The management of obstetric hemorrhage involves early recognition, assessment and resuscitation. Though dealt with appropriate use of oxytocic agents, it may seldom require surgical techniques, including uterine tamponade, major vessel ligation, compression sutures, and even hysterectomy. Method: Prospective study of 20 cases of laparotomy for obstetrical hemorrhage carried out at Tribhuvan University Teaching Hospital, Kathmandu, Nepal, between Jan 2003 to Nov 2011. Results: Out of 20 cases, massive hemoperitoneum (more than a liter) was noted in 9 and associated risk factors in 10. Source of bleeding in 20 cases were from extensive hematoma (retroperitoneal and broad ligament) in 5, including a rectus sheath hematoma and with colporrhexis, oozing inverted T incision repaired in a single layer (1), placental bed (3) and 1 was from vessels in LUS. There was bleeding from uterine angle (4) and incision (1). Bleeding from tear at various sites were 3, from uterovesicle fold of peritoneum 1 and from the ruptured uterus following vacuum delivery in a case of VBAC (1). Uterine packing was done in 1, B-Lynch in 3 and 1 failed needing the uterine packing; uterine artery ligation in 2 including ovarian vessel ligation in 1, repair of ruptured uterus in 1 and subtotal hysterectomy in 5 cases. There were 3 mortalities due to DIC, pulmonary edema and ARF and rest were discharged in good health. Conclusion: Choosing of the right technique, complete hemostasis and meticulous closure of all surgical incisions will prevent the need for laparotomy following LSCS. Vigilant monitoring of all the post operative patients will lead to early diagnosis of intraperitoneal / pervaginal bleeding and its management, thus preventing morbidity and mortality owing to late diagnosis. DOI: http://dx.doi.org/10.3126/joim.v34i1.9118 Journal of Institute of Medicine, April, 2012; 34:1 18-24

APA, Harvard, Vancouver, ISO, and other styles

25

Tanjona, Ratsiatosika A., Randriamahavonjy Romuald, Ratongasoa Mahefa, Housni I. A., Rakotonirina A. Martial, Randria J. Mahenina, Rakotonirina Ando-Miora, and Andrianampanalinarivo H. Rakotovao. "Emergency peripartum hysterectomy in a tertiary hospital in Antananarivo, Madagascar." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 11 (October 25, 2018): 4752. http://dx.doi.org/10.18203/2320-1770.ijrcog20184542.

Full text

Abstract:

Background: Postpartum hemorrhage is one of the leading causes of maternal death in the entire world. It affects 10% of deliveries. Emergency peripartum hysterectomy (EPH)defined as a lifesaving procedure involving the removal of the uterus to treat severe postpartum hemorrhage is one of the last-resort treatments for severe postpartum hemorrhage in case of failure of other techniques. Through this study, we aimed both to describe the epidemiological profile, to determine the etiologies, and maternal complications of EPH.Methods: It is about a descriptive retrospective study from January 1st, 2016 to January 1st, 2017 at the Befelatanana University Hospital of Obstetrics and Gynecology. We included all patients who underwent Emergency peripartum hysterectomy after 22 weeks of Amenorrhea (WA) regardless of the delivery route in the centre. We used the R software for the statistical analysis of the results.Results: We had 31 cases of EPH during this period with a prevalence of 0.44%. The average age was 26.38±5.61 years. Mean gestational age was 37±3.59 weeks of amenorrhea. In the 83.87% of cases, the patient received less than four prenatal consultations. Patients were referred in 45.16% of the cases. The delivery route was by cesarean section in 48.39% of cases. Eleven patients (35.48%) received a blood transfusion. Hysterectomy was subtotal in 96.77% of the cases. We had five (16.13%) maternal deaths during the study period. The leading cause of death was hemorrhagic shock (80%). The etiology of hysterectomy was dominated by uterine atony complicated by hemorrhage (48.39%), followed by retroplacental hematoma (25.81%) and uterine rupture (22.58%).Conclusions: EPH still holds its place in the management of postpartum hemorrhage in Madagascar. Maternal mortality remains high. Uterine atony was the most common indication for EPH. The prevention of postpartum hemorrhage by management of the third stage of labour should be carried out by any health actor.

APA, Harvard, Vancouver, ISO, and other styles

26

Najma Bano Shaikh, Maria Shabir Shaikh, Farhana Shaikh, Nabila Hassan, Sajida yousfani, and Shabnam Shaikh. "Role of the Uterine Artery Ligation (UAL) In Control of Postpartum Hemorrhage." Annals of PIMS-Shaheed Zulfiqar Ali Bhutto Medical University 17, no. 2 (May 19, 2021): 184–87. http://dx.doi.org/10.48036/apims.v17i2.535.

Full text

Abstract:

Objective: To determine the efficacy and safety of uterine artery ligation (UAL) in control of Postpartum Hemorrhage. Methodology: This case series study was conducted at Department of Gynecology and Obstetrics Peoples University of Medical & Health Sciences for Women Nawabshah. All the women age between 20-45 years, gestation duration at and beyond 34 weeks, antepartum hemorrhage; intraoperative atonic postpartum hemorrhage and discovery of a placenta accreta; or an adherent placental part after piecemeal removal of the placenta, with bleeding from the placental site were included. After failure of treatment from medical measures, the initial surgical approach of uterine artery ligation (UAL) was done. Efficacy was defined as positive when patient improves or clinically doesn’t develop any complication throughout admission after UAL. Safety was assessed by appearance of side effects if any occurred after procedure. Data was recorded via study proforma and analysis was done by using SPSS version 20. Results: Out of 76 patients admitted of postpartum hemorrhage mean age was 58 years. Most of the patients 59.2% were multiparous and 40.8% were primiparous. The most common cause of postpartum hemorrhage was uterine atony 56.5% and adherent Placenta accreta 43.42%. Most of the patients 81.6% had no postoperative complications except for 11 patients, who had developed gaping of the wound from which they recovered and discharged. The patients required hysterectomy due to intractable hemorrhage and 2.3% mortality was observed due to DIC. Conclusion: Uterine devascularization by bilateral uterine artery ligation is a simple, effective and the safest initial surgical option with less blood loss and less surgical time for controlling postpartum hemorrhage during cesarean section. It should be used as the first surgical step of choice after medical managements fail in controlling postpartum hemorrhage due to minimal rate of complications and mortality.

APA, Harvard, Vancouver, ISO, and other styles

27

Arumaikannu, J., S. Usha Rani, and T. S. Aarifa Thasleem. "Massive subchorionic haemorrhage: a rare case report associated with secondary PPH due to uterine artery pseudoaneurysm." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 10 (September 23, 2017): 4723. http://dx.doi.org/10.18203/2320-1770.ijrcog20174475.

Full text

Abstract:

Massive subchorionic hemorrhage is a rare but serious condition in pregnancy in which a large amount of blood, mainly maternal collects between the uterine wall and the chorionic membrane and may leak through the cervical canal. Although many associations have been reported, an underlying etiology has not been elucidated. Association of massive subchorionic hemorrhage with thrombophilias have been reported in few articles. We are reporting a case of massive subchorionic hemorrhage presented at 13 weeks of gestation associated with secondary post-partum hemorrhage due to uterine artery pseudoaneurysm.

APA, Harvard, Vancouver, ISO, and other styles

28

Makin, Jennifer, Daniela I. Suarez-Rebling, Poonam Varma Shivkumar, Vincent Tarimo, and Thomas F. Burke. "Innovative Uses of Condom Uterine Balloon Tamponade for Postpartum Hemorrhage in India and Tanzania." Case Reports in Obstetrics and Gynecology 2018 (June 3, 2018): 1–3. http://dx.doi.org/10.1155/2018/4952048.

Full text

Abstract:

Background. Postpartum hemorrhage is the most common cause of maternal deaths worldwide, the majority of which occur in low-resource settings. Uterine balloon tamponade (UBT) is an effective method of addressing uncontrolled postpartum hemorrhage (PPH) from uterine atony; however, UBT devices are often not affordable. We report on three novel uses of an ultra-low-cost condom uterine balloon tamponade (ESM-UBT) device. Cases. ESM-UBT devices were used in innovative ways to arrest severe uncontrolled pregnancy-related hemorrhage among three women in India and Tanzania. The first had sustained deep vaginal lacerations, the second a cervical pregnancy, and the third a complete molar pregnancy. Conclusion. The ESM-UBT device may be useful for control of obstetric hemorrhage caused by complex vaginal tears as well as cervical and molar pregnancies.

APA, Harvard, Vancouver, ISO, and other styles

29

Mostfa, Ali Abdelhamed M., and Mostafa M. Zaitoun. "Safety Pin Suture for Management of Atonic Postpartum Hemorrhage." ISRN Obstetrics and Gynecology 2012 (April 5, 2012): 1–4. http://dx.doi.org/10.5402/2012/405795.

Full text

Abstract:

Objective. To assess the efficacy of a new suture technique in controlling severe resistant uterine atonic postpartum hemorrhage. Patients and Methods. This is a retrospective observational study that included thirteen women with uterine atony and postpartum bleeding that did not react to usual medical management. All these women underwent compressing vertical suture technique in which the anterior and posterior walls of the uterus were attached so as to compress the uterus. The suture is transfixed at the uterine fundus, thus eliminating the risk of sutures sliding off at the uterine fundus (safety pin suture). Results. safety pin uterine compression suture was a sufficient procedure to stop the bleeding immediately in 92.2% of the women. None of the women developed complications related to the procedure. Conclusion. A new safety pin suture is a simple and effective procedure to control bleeding in patients with treatment-resistant, life-threatening atonic postpartum hemorrhage with the advantage of eliminating the risk of the sutures sliding off at the uterine fundus.

APA, Harvard, Vancouver, ISO, and other styles

30

Nakagawa, Tomoko, Yutaka Kyukawa, Yukiharu Nakaoka, Teruhisa Ninoi, Kenji Nakamura, Yujiro Tsujita, Ken-ichi Honda, et al. "Acute intraabdominal hemorrhage from an aneurysm on uterine artery." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 4 (March 30, 2017): 1646. http://dx.doi.org/10.18203/2320-1770.ijrcog20171445.

Full text

Abstract:

A 36-year-old woman was underwent emergency laparotomy for acute intraabdominal hemorrhage, but bleeding points were not found. Abdominal pains continued after the laparotomy, and rupture of aneurysm on uterine artery was found in angiography. An transcatheter arterial embolization was done for the uterine artery, and the aneurysm was found to disappear in 4-day-after the angiography. Rupture of an aneurysm on uterine artery should be considered for the causes of acute intraabdominal hemorrhage.

APA, Harvard, Vancouver, ISO, and other styles

31

Kokolakis, Ioannis, Fanis Makrigiannakis, Afroditi Ziogou, and Antonios Makrigiannakis. "Μassive secondary postpartum hemorrhage caused by pseudoaneurysm of uterine artery, treated with uterine artery embolization – An uncommon case report." Hellenic Journal of Obstetrics and Gynecology 19, no. 2 (April 3, 2020): 95–100. http://dx.doi.org/10.33574/hjog.1987.

Full text

Abstract:

Introduction: Uterine artery pseudoaneurysm is an uncommon cause of secondary postpartum hemorrhage that can be fatal. Material & Methods: We present a case of a 42-year-old woman who developed massive secondary postpartum hemorrhage 17 days after c-section and was diagnosed to have pseudoaneurysm from the left uterine artery on computed tomography scan. After blood transfusion she got hemodynamically stable and selective transcatheter arterial embolization was performed. Results: The pseudoaneurysm was successfully obliterated. Conclusions: Angiographic embolization is a safe and competent method for managing postpartum hemorrhage caused by pseudoaneurysm in hemodynamically stable patients. However, uterine artery ligation may be the preferred method for hemodynamically unstable patients when fertility preservation is strongly desired. In a woman with unexplained vaginal bleeding after c-section , pseudoaneurysm should be considered in the differential diagnosis of secondary postpartum hemorrhage. Angiographic embolization should be examined as a treatment method before turning to surgery, in suitable selected cases.

APA, Harvard, Vancouver, ISO, and other styles

32

Lewis, Preeti Frank, Mridula Raghav, and Roopali Sanjay Sehgal. "Dying uterus, uterine artery ligation-a curse or a blessing? a rare case report." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, no. 10 (September 27, 2021): 4017. http://dx.doi.org/10.18203/2320-1770.ijrcog20213884.

Full text

Abstract:

Uterine necrosis is a rare life-threatening condition reported in few case reports associated with uterine artery embolization for uterine fibroids or postpartum hemorrhage. We report a case of hemorrhagic uterine necrosis in a 22-year-old primipara day 4 post emergency caesarean section who presented with breathlessness, abdominal distension and severe anaemia. Patient underwent emergency exploratory laparotomy 2 hours after the caesarean section with intraoperative findings suggestive of rectus muscle hematoma, bilateral uterine artery ligation was done for atonic PPH. On clinical examination uterus was corresponding to 28-30 weeks gestation size with guarding and tenderness. Ultrasonography revealed bulky uterus. CT abdomen with pelvis with contrast was done with findings suggestive of hemorrhagic ischaemic myometrial necrosis. An emergency exploratory laparotomy was performed with intraoperative findings of uterus size of 30 weeks gestation with diffuse congestion, gangrene of bilateral tubes and ovaries. Obstetric hysterectomy with bilateral salpingo-oovarectomy was done. Patient was discharged on postoperative day 9. High index of clinical suspension, prompt CT imaging and exploratory laparotomy on time proved life-saving.

APA, Harvard, Vancouver, ISO, and other styles

33

Soued, Mickaël, Alexandre J. Vivanti, Daniel Smiljkovski, Xavier Deffieux, Alexandra Benachi, Agnès Le Gouez, and Frédéric J. Mercier. "Efficacy of Intra-Uterine Tamponade Balloon in Post-Partum Hemorrhage after Cesarean Delivery: An Impact Study." Journal of Clinical Medicine 10, no. 1 (December 28, 2020): 81. http://dx.doi.org/10.3390/jcm10010081.

Full text

Abstract:

Invasive therapies (surgery or radiological embolization) are used to control severe post-partum hemorrhage. The intra-uterine tamponade balloon is a potential alternative, well documented after vaginal delivery. However, available data on its use after cesarean delivery remain scarce. This study assessed the efficacy of the intra-uterine tamponade balloon during post-partum hemorrhage in a cesarean delivery setting. Using a retrospective impact design, post-partum hemorrhage-related outcomes before (“pre-balloon” period) versus after implementation of intra-uterine tamponade balloon (“post-balloon” period) were compared. All women with post-partum hemorrhage requiring potent uterotonic treatment with prostaglandins after cesarean delivery over a 9-year period were eligible. The primary outcome was the rate of invasive procedure (conservative surgery, radiological embolization and/or hysterectomy). p < 0.05 was considered statistically significant. A total of 279 patients were included (140 vs. 139). Most baseline characteristics were comparable between the two studied periods. The success rate of the intra-uterine tamponade balloon was 82%, and no related complications occurred. Rates of invasive procedures and transfusion were significantly reduced (28.6% vs. 11.5%, p < 0.001 and 44.3% vs. 28.1%, p = 0.006 respectively) during the “post-balloon” period, and length of hospital stay was shorter (p < 0.001). Implementation of intra-uterine tamponade balloon during post-partum hemorrhage after cesarean delivery appears to be safe and effective, with a decrease in both invasive procedures and transfusion rates.

APA, Harvard, Vancouver, ISO, and other styles

34

Ghouri, Ambreen, Bushra Mushtaq, Azra Ahmed, Najma Dalwani, Padma Bai, and Anas Bin Tariq. "Management of obstetric hemorrhage; an observational study highlighting the efficacy of uterine artery ligation." International Journal of Research in Medical Sciences 8, no. 6 (May 26, 2020): 2238. http://dx.doi.org/10.18203/2320-6012.ijrms20202274.

Full text

Abstract:

Background: Obstetrical hemorrhage is leading cause of maternal mortality. UAE is termed safe and effective method for resolving hemorrhage. objective of this study was to determine efficacy of uterine artery ligation in management of obstetrical hemorrhage.Methods: This cross sectional observational using non-probability convenient sampling technique was carried out for six months. After ethical approval, females between 18 to 35 years diagnosed with obstetrical hemorrhage, uterine atony refractory to medical treatment, having active bleeding from placental side or having normal coagulation profile were while females with post-partum hemorrhage because of retained products of conception, due to genital tract trauma or with disseminated intravascular coagulation were excluded. Analysis of data was done using SPSS version 23.0. Quantitative variables were reported as mean and standard deviation and for qualitative variables, frequency and percentages. Chi-square test was applied keeping p-value of <0.05 as statistically significant.Results: From 109 females with mean age 47±5.25 years. In comparison of parity distribution, 62 (56.88%) were multiparous and 47 (43.12%) were primiparous. Type of bleeding observed was antepartum 36(33.03%), peripartum 39 (35.78%) and postpartum in 34 (31.19%). Efficacy of uterine artery ligation in management of obstetric hemorrhage was observed to be 35 (32.11%). The efficacy of uterine artery ligation in management of obstetric hemorrhage in three categories of age groups reported significant association (p=0.0005) and type of bleeding (p=0.025).Conclusions: Efficacy of UAE in different types of obstetrical hemorrhage reported in our study was lower than expected in about one-third of females.

APA, Harvard, Vancouver, ISO, and other styles

35

Chen-Lung Chien, Chen-Lung Chien, 范洪春 Chen-Lung Chien, 金忠孝 Hueng-Chuen Fan, and John Hsu Jong-Shiaw Jin. "Unsuccessful Transcatheter Arterial Embolization for Postpartum Hemorrhage: A Case Report." 童綜合醫學雜誌 16, no. 1 (June 2022): 023–26. http://dx.doi.org/10.53106/207135922022061601004.

Full text

Abstract:

<p>Postpartum haemorrhage (PPH) is the most common cause of death from childbirth and is commonly treated with transcatheter arterial embolisation (TAE). However, TAE failure could occur in the form of intractable PPH with uncontrolled bleeding. Here we report the case of a 36-year-old female who developed PPH post-delivery and was treated with TAE. The bilateral internal iliac and uterine arteries were first catheterised, after which embolisation of the bilateral uterine and internal iliac arteries was performed with Gelfoam particles, and the blood flow of the vessels was markedly reduced after the embolisation. However, the patient’s blood pressure remained low (about 60/40 mmHg) after TAE, necessitating a subtotal hysterectomy. In this report, related studies on the risk factors and treatments for PPH and the risk factors for the clinical failure of TAE are discussed.</p> <p> </p>

APA, Harvard, Vancouver, ISO, and other styles

36

Harvey, Carol J. "Evidence-Based Strategies for Maternal Stabilization and Rescue in Obstetric Hemorrhage." AACN Advanced Critical Care 29, no. 3 (September 15, 2018): 284–94. http://dx.doi.org/10.4037/aacnacc2018966.

Full text

Abstract:

Obstetric hemorrhage is one of the most frequent causes of maternal death in the United States. More than 70% of maternal deaths from hemorrhage are preventable. State and professional quality care organizations have reduced severe maternal morbidity by more than 20% by implementing evidence-based guidelines. Successful hemorrhage management requires collaborative, multidisciplinary teams of trained health care personnel. Hemorrhage management’s primary goal is to stop the bleeding before the occurrence of maternal hypovolemia, acidosis, coagulopathy, and death. Uterine atony is the primary cause of obstetric hemorrhage and can be managed with uterotonic agents, placement of noninvasive uterine tamponade balloons, and surgical procedures if needed. Women experiencing massive hemorrhage should be treated according to resuscitation care guidelines with avoidance of hypothermia, acidosis, and coagulopathy. Use of a massive transfusion protocol is warranted for best outcomes. Resources for institutional adoption of current collaborative standards for managing obstetric hemorrhage are identified in this article.

APA, Harvard, Vancouver, ISO, and other styles

37

Brown, Matthew, Michael Hong, and Jonathan Lindquist. "Uterine Artery Embolization for Primary Postpartum Hemorrhage." Techniques in Vascular and Interventional Radiology 24, no. 1 (March 2021): 100727. http://dx.doi.org/10.1016/j.tvir.2021.100727.

Full text

APA, Harvard, Vancouver, ISO, and other styles

38

Loya, Mohammed F., Kirema Garcia-Reyes, Judy Gichoya, and Janice Newsome. "Uterine Artery Embolization for Secondary Postpartum Hemorrhage." Techniques in Vascular and Interventional Radiology 24, no. 1 (March 2021): 100728. http://dx.doi.org/10.1016/j.tvir.2021.100728.

Full text

APA, Harvard, Vancouver, ISO, and other styles

39

Nguyen, Kim T., M. James Lozada, Phillip Gorrindo, and Feyce M. Peralta. "Massive Hemorrhage From Suspected Iatrogenic Uterine Rupture." Obstetrics & Gynecology 132, no. 6 (December 2018): 1494–97. http://dx.doi.org/10.1097/aog.0000000000002971.

Full text

APA, Harvard, Vancouver, ISO, and other styles

40

Wald, David A. "Postpartum hemorrhage resulting from uterine artery pseudoaneurysm." Journal of Emergency Medicine 25, no. 1 (July 2003): 57–60. http://dx.doi.org/10.1016/s0736-4679(03)00098-2.

Full text

APA, Harvard, Vancouver, ISO, and other styles

41

Baskett, Thomas F., and Kirsten L. Smith. "Uterine Compression Sutures for Severe Postpartum Hemorrhage." Obstetrics & Gynecology 99, Supplement (April 2002): 76S. http://dx.doi.org/10.1097/00006250-200204001-00171.

Full text

APA, Harvard, Vancouver, ISO, and other styles

42

BOSCHERT, SHERRY, and SHERRY BOSCHERT. "HTA Stops Uterine Hemorrhage Due to Fibroids." Ob.Gyn. News 40, no. 21 (November 2005): 21. http://dx.doi.org/10.1016/s0029-7437(05)71213-1.

Full text

APA, Harvard, Vancouver, ISO, and other styles

43

BASKETT, T. "Uterine compression sutures for severe postpartum hemorrhage." Obstetrics & Gynecology 99, no. 4 (April 2002): S76. http://dx.doi.org/10.1016/s0029-7844(02)01838-0.

Full text

APA, Harvard, Vancouver, ISO, and other styles

44

Maier, Robert C. "Control of postpartum hemorrhage with uterine packing." American Journal of Obstetrics and Gynecology 169, no. 2 (August 1993): 317–23. http://dx.doi.org/10.1016/0002-9378(93)90082-t.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

Kerlan, Robert K., James O. Coffey, Marilyn S. Milkman, Jeanne M. LaBerge, Mark W. Wilson, Kristen A. Cea Wolanske, and Roy L. Gordon. "Massive Vaginal Hemorrhage after Uterine Fibroid Embolization." Journal of Vascular and Interventional Radiology 14, no. 11 (November 2003): 1465–67. http://dx.doi.org/10.1097/01.rvi.0000096770.74047.81.

Full text

APA, Harvard, Vancouver, ISO, and other styles

46

BOBROWSKI, R. "A thrombogenic uterine pack for postpartum hemorrhage." Obstetrics & Gynecology 85, no. 5 (May 1995): 836–37. http://dx.doi.org/10.1016/0029-7844(94)00231-2.

Full text

APA, Harvard, Vancouver, ISO, and other styles

47

Fahmy, K. "Uterine artery ligation to control postpartum hemorrhage." International Journal of Gynecology & Obstetrics 25, no. 5 (October 1987): 363–67. http://dx.doi.org/10.1016/0020-7292(87)90341-9.

Full text

APA, Harvard, Vancouver, ISO, and other styles

48

Yasir, Rozina, Mumtu Bai Lakhwani, Shaista Naz, and Zain Ali. "PRIMARY POSTPARTUM HEMORRHAGE." Professional Medical Journal 23, no. 10 (October 10, 2016): 1178–82. http://dx.doi.org/10.29309/tpmj/2016.23.10.1718.

Full text

Abstract:

Objectives: The aim of our study is to determine the effectiveness of uterinemassage with active management and compare it with active management alone, in primarypostpartum hemorrhage prevention. Study Design: Randomized control trial. Period: 8months from September 2014 to April 2015. Setting: Tertiary Care Hospital in Karachi, Pakistan.Method: The study population consists of n=118 patients, both emergency and elected cases,who came to the gynecology and obstetrics ward at our hospital. The patient population wasdivided into two groups, group I received active management of labor ( third stage ) while groupII received active management of labor (third stage) in addition to the uterine massage (for a 2hrduration), the outcome was measured by measuring the amount of blood loss and the need foruterotonic agents. A p value of less than 0.05 was considered significant. Results: The studypopulation consisted of n=118 patients, undergoing spontaneous labor, and divided into twogroups, the mean blood loss in group I (control group) was 211.4mls and in group II (massagegroup) was 167.8mls (p value= 0.015). In group I n=15 patients required additional uterotonicsupport, while in group II only n=3 patients required it (p value= 0.00058). Conclusion:According to the results of our study, uterine massage in addition to the active managementof labor reduces post-partum hemorrhage, and it also reduces the requirement for additionaluterotonic agents for the control of hemorrhage.

APA, Harvard, Vancouver, ISO, and other styles

49

Dhillon, Atmajit Singh, and Karminder Dhillon. "Use of combination method (uterine sandwich technique) to control postpartum hemorrhage." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 7 (June 27, 2018): 2753. http://dx.doi.org/10.18203/2320-1770.ijrcog20182876.

Full text

Abstract:

Background: Uterine atony is the most common cause (75%-90%) of primary postpartum hemorrhage (PPH) and Christopher B Lynch was the first to highlight the use of Uterine Compression Sutures (UCS) for the management of atonic PPH. In combination therapy, the (UCS) is combined with intrauterine balloon tamponade, known as (uterine sandwich), for combined external as well as internal compression for more effective hemostatic control of uterine bleeding.Methods: The uterine sandwich technique was used in a total of twelve patients managed in a tertiary care service hospital during caesarean deliveries. In four cases of uterine atony, the sandwich technique was used, for patients unresponsive to the conservative management. In eight patients the sandwich technique was used as a prophylactic measure, where according to the clinical profile of the patient there was high risk of PPH and where either blood was not available or availability was limited.Results: In the four cases of uterine atony, the uterine sandwich technique was used therapeutically. All the patients were multigravidae. The period of gestation ranged from 34 weeks to 37 weeks. Average operating time was 50- 60 mts, average estimated blood loss was 1600 ml, average distension of Foleys catheter was 90 ml and average duration of the intrauterine Foleys catheter balloon being in situ was 12 hrs. In eight patients, the sandwich technique was used as a prophylactic measure, for varied indications. In all the cases there was successful outcome. Post-operative outcome was uneventful in all the cases.Conclusions: The uterine sandwich technique can be used either prophylactically or therapeutically for control of PPH. It is simple, safe, easy, effective and is easier to perform than internal iliac artery ligation and should be considered prior to proceeding for hysterectomy in a hemodynamically stable patient, in whom uterine conservation or fertility preservation is essential.

APA, Harvard, Vancouver, ISO, and other styles

50

Montufar-Rueda, Carlos, Laritza Rodriguez, José Douglas Jarquin, Alejandra Barboza, Maura Carolina Bustillo, Flor Marin, Guillermo Ortiz, and Francisco Estrada. "Severe Postpartum Hemorrhage from Uterine Atony: A Multicentric Study." Journal of Pregnancy 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/525914.

Full text

Abstract:

Objective. Postpartum hemorrhage (PPH) is an important cause of maternal mortality (MM) around the world. Seventy percent of the PPH corresponds to uterine atony. The objective of our study was to evaluate multicenter PPH cases during a 10-month period, and evaluate severe postpartum hemorrhage management.Study Design. The study population is a cohort of vaginal delivery and cesarean section patients with severe postpartum hemorrhage secondary to uterine atony. The study was designed as a descriptive, prospective, longitudinal, and multicenter study, during 10 months in 13 teaching hospitals.Results. Total live births during the study period were 124,019 with 218 patients (0.17%) with severe postpartum hemorrhage (SPHH). Total maternal deaths were 8, for mortality rate of 3.6% and a MM rate of 6.45/100,000 live births (LB). Maternal deaths were associated with inadequate transfusion therapy.Conclusions. In all patients with severe hemorrhage and subsequent hypovolemic shock, the most important therapy is intravascular volume resuscitation, to reduce the possibility of target organ damage and death. Similarly, the current proposals of transfusion therapy in severe or massive hemorrhage point to early transfusion of blood products and use of fresh frozen plasma, in addition to packed red blood cells, to prevent maternal deaths.

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Hemorrhage, uterine'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles