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To Assess the Effectiveness of Uterine Compression Sutures for the Management of Postpartum Haemorrhage

Suman kumari , Pratiksha Gupta1 , Suman Kumari2

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Indian Journal of Obstetrics and Gynecology 7(2):p 129-134, April-June 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7219.2

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Pratiksha Gupta, Suman Kumari. To Assess the Effectiveness of Uterine Compression Sutures for the Management of Postpartum Haemorrhage. Indian J Obstet Gynecol. 2019;7(2):129-134.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Aim: To compare and evaluate the effectiveness of different types of conservative surgical suture in the management of PPH (postpartum haemorrhage) after failed medical treatment. Settings and Design: Retrospective study at tertiary care hospital in Chandigarh and New Delhi. Methods and Material: Total of 62 women were included in the study, encountered over period from December 2004 to December 2016, in whom different types of conservative surgical sutures were used in combination with or without devascularisation technique for the management of PPH not responding to medical treatment. Statistical analysis used: Categorical variables are presented in number and percentage (%) and continuous variables are presented as mean ± SD. Results: Different conservative surgical sutures used in the management of PPH were effective in 80.64% of cases (50/62). The success rate of conservative compression sutures with devascularisation techniques was 91.93% ( 57/62). The most common cause of PPH encountered during caesarean delivery was uterine atony (51/62, 82.25%) followed by placenta praevia (11/62, 17.74%) in our study. The success rate for U shaped compression suture in cases of uterine atony was (19/22) 86.36% and B-Lynch was 10/12 (83.33%). Conclusions: Conservative surgical sutures with or without devascularisation technique are an effective method for the management of postpartum haemorrhage not responding to medical treatment.

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Cite this article

Pratiksha Gupta, Suman Kumari. To Assess the Effectiveness of Uterine Compression Sutures for the Management of Postpartum Haemorrhage. Indian J Obstet Gynecol. 2019;7(2):129-134.

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7219.2

Keywords

PPH (postpartum haemorrhage); Compression suture; Hysterectomy.

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