Postpartum Hemorrhage, Uterine Atony With Hemorrhage
Conditions
Keywords
Cesarean section, compression suture, postpartum hemorrhage
Brief summary
This study is aimed to show effectiveness of a new suture technique to stop postpartum uterine bleeding due to uterine atony.
Detailed description
A retrospective study of all women received Acar's uterine compressive atony suture between January 2021-November 2023 at a single tertiary hospital with approximately 4000 deliveries per year, was performed. The local protocol for PPH due to uterine atony is uterine manual compression, 20 IU of intravenous oxytocin in 500 cc of normal saline at 500 cc/h; 800 µg of misoprostol inserted per rectal. If additional treatment is needed, carbetocin 100mcg in 100 cc of normal saline or tranexamic acid in different posologies are used. If uterine atony persists, intrauterine balloon tamponade or uterine compressive sutures were applied at the discretion of the physician and according to mode of delivery. When uterine compressive suture was performed, original Acar's atony suture was applied.
Interventions
None listed
Sponsors
Necmettin Erbakan University
Study design
Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Inclusion criteria
* women without systemic disease
Exclusion criteria
* cardiac disease * rheumatological disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postpartum hysterectomy and/or intensive care unit need ratio | Since first operation to discharge from hospital assessed up to 5 days | The need for hysterectomy or massive transfusion because of unstoppable and mortal bleeding |
Countries
Turkey (Türkiye)
Outcome results
None listed