scholarly journals Assessment of Efficacy of Hayman Suture Technique in Management of Intraoperative Atonic Postpartum Hemorrhage

2020 ◽  
Vol 24 (2) ◽  
Author(s):  
DRAKHSHAN NAUMAN ◽  
NADIA SAIF ◽  
UZMA SIDDIQUE ◽  
NOSHEEN NAVEED ◽  
UZMA SIDDIQUE
Keyword(s):  
Surgical Technique ◽  
Observational Study ◽  
Study Design ◽  
Postpartum Hemorrhage ◽  
Medical Management ◽  
Maternal Morbidity ◽  
Descriptive Study ◽  
Suture Technique ◽  
Uterine Atony ◽  
Maternal Morbidity And Mortality

Objective:  To assess the efficacy of the Hayman suture technique in the management of intraoperative atonic postpartum hemorrhage thus reducing maternal morbidity and mortality. Study Design:  Simple Descriptive study. Materials and Method:  A simple descriptive observational study was conducted at Farooq Hospital and AIT, Lahore. The study included all patients with intraoperative atonic PPH after elective and emergency caesarean sections, during the study period, in whom medical management of PPH failed and Hayman suture was applied. Results:  Hayman suture was 97.5% successful in controlling primary PPH due to intraoperative uterine atony. It failed in only one patient (2.5%) and that patient needed a hysterectomy. Conclusion:  Hayman suture is an effective and quick technique in controlling primary PPH due to intraoperative uterine atony. It is an effective surgical technique after failure of conservative medical management. It is easy to apply and can be applied by Postgraduate trainees and registrar in emergency as lifesaving procedure.

scholarly journals Safety Pin Suture for Management of Atonic Postpartum Hemorrhage

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Ali Abdelhamed M. Mostfa ◽  
Mostafa M. Zaitoun
Keyword(s):  
Observational Study ◽  
Postpartum Hemorrhage ◽  
Medical Management ◽  
Suture Technique ◽  
Treatment Resistant ◽  
Life Threatening ◽  
Uterine Compression Suture ◽  
Compression Suture ◽  
Uterine Fundus ◽  
Safety Pin

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.

TO EVALUATE THE EFFECTIVENESS OF CONDOM BALLOON CATHETER IN TREATING INTRACTABLE POSTPARTUM HEMORRHAGE AT KONTUM PROVINCIAL HOSPITAL

2018 ◽  
Vol 8 (6) ◽  
pp. 178-183
Author(s):  
Dinh Nguyen Gia ◽  
Thanh Cao Ngoc
Keyword(s):  
Maternal Death ◽  
Postpartum Hemorrhage ◽  
Medical Management ◽  
Balloon Catheter ◽  
Uterine Atony ◽  
Cross Sectional ◽  
Common Cause ◽  
Provincial Hospital ◽  
Balloon Tamponade ◽  
Condom Catheter

Background: Postpartum hemorrhage (PPH) remains a significant contributor to maternal morbility and mortality and accounts for 31% of maternal death in Vietnam. The most common cause of PPH is uterine atony. Recently, uterine tamponade using intrauterine condom appears to be an effective tool in the management of intractable PPH. Objectives: To evaluate the success of condom as a tamponade to arrest intractable PPH due to uterine atony in patients not responding to medical management. Materials and Methods: The study was designed as a cross-sectional and descriptive, included 32 patients who underwent condom balloon tamponade at Kontum Provincial Hospital from 1/2012 to 8/2016. Results: 32 women (mean age 25.71 ± 6.45 years range, 16 - 39) underwent condom balloon tamponade for PPH controls. 29 patients (90.62%) successfully responded the tamponade therapy by the use of condom catheter. Three patients (9.37%) required hysterectomy. Conclusions: Condom catheter balloon effectively controls the intractable PPH due to uterine atony. Key words: PPH (Pospartum hemorrhage), Tamponade, Condom catheter balloon, Uterine atony

scholarly journals UTERINE RUPTURE;

2013 ◽  
Vol 20 (05) ◽  
pp. 726-730
Author(s):  
CHANDRA MADHUDAR ◽  
AMBREEN GHORI ◽  
FARKHUNDA KHURSHID ◽  
Syed Zulfiquar Ali Shah ◽  
Tarachand Devrajani
Keyword(s):  
Uterine Rupture ◽  
Maternal Morbidity ◽  
Descriptive Study ◽  
Morbidity And Mortality ◽  
University Hospital ◽  
Collaborative Approach ◽  
Careful Selection ◽  
Maternal Morbidity And Mortality ◽  
Obstetrical Emergency ◽  
Study Setting

objective: To evaluate frequency, maternal morbidity and mortality in patients with uterine rupture at Gynae Unit -II of civilHospital Hyderabad. Study design: Prospective descriptive study. Study setting: Department of Obstetrics and Gynecology, unit-IILiaquat University Hospital Hyderabad Sindh Pakistan; from 1st October 2010 to 31st March 2011. Subjects and methods: All thepatients diagnosed as case of uterine rupture was taken as study subject. Data was collected in a pre-designed porforma. Variableanalyzed were frequency, demographic characters, maternal morbidity and mortality. Results: During the study, 34 patients out of 1400deliveries presented with uterine rupture resulting in a frequency of 2.42%or 1: 41deliveries. 64.7%(22) patients were between 26 to 35years age and 67.64%(23) were multipara.26.47%(9) presented with extension of tears, 17.6%(6) with shock,20.5%(7) with septicemiaand 20.5%(7) with wound infection. Conclusions: Uterine rupture is yet a common obstetrical emergency in our area. The significantmorbidity and mortality deserves our special attention by a collaborative approach. Regular ante natal checkups, careful selection ofpatients for vaginal delivery, vigilantly monitoring during labor with smooth switch over to operative delivery can reduce this drasticobstetrical complication.

scholarly journals A descriptive study on Hayman suture technique to control postpartum hemorrhage

2012 ◽  
Vol 34 (3) ◽  
pp. 79 ◽  
Author(s):  
Anamika Majumdar ◽  
Kallol Mallick ◽  
Bipin Vasava ◽  
Kanan T Desai ◽  
Malati Dalal
Keyword(s):  
Postpartum Hemorrhage ◽  
Descriptive Study ◽  
Suture Technique

scholarly journals Postpartum hemorrhage: a continuing challenge

Hematology ◽  
2015 ◽  
Vol 2015 (1) ◽  
pp. 132-137 ◽  
Author(s):  
Evelyn Lockhart
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Replacement Therapy ◽  
Postpartum Hemorrhage ◽  
Maternal Morbidity ◽  
Morbidity And Mortality ◽  
Obstetric Hemorrhage ◽  
Antifibrinolytic Therapy ◽  
Maternal Morbidity And Mortality ◽  
Fibrinogen Replacement Therapy

Abstract Obstetric hemorrhage remains a leading cause of maternal morbidity and mortality worldwide. Many postpartum hemorrhages (PPHs) do not have identifiable risk factors; maternity units should therefore have obstetric hemorrhageprotocols in place for all parturients as every pregnancy has the potential to be complicated by hemorrhage. This review will examine the epidemiology of PPH as well as current recommendations for key elements in obstetric hemorrhage protocols. Recent advances in hematologic management of PPH will be also be reviewed, including: (1) recognition of hypofibrinogenemia as a risk factor for severe PPH, (2) use of antifibrinolytic therapy, and (3) strategies for fibrinogen replacement therapy.

scholarly journals Uterine preservation with Cho suture in localized multifocal atonicity of uterus with failed medical management and uterine tamponade

2020 ◽  
Vol 9 (11) ◽  
pp. 4698
Author(s):  
Shailesh K. Makwana ◽  
Sonal C. Halpati ◽  
Chirag Patel
Keyword(s):  
Medical Management ◽  
Maternal Morbidity ◽  
Postpartum Haemorrhage ◽  
Morbidity And Mortality ◽  
Uterine Preservation ◽  
Maternal Morbidity And Mortality ◽  
Uterine Compression Suture ◽  
Compression Suture ◽  
The Common ◽  
D Dimer

Postpartum haemorrhage (PPH) is a major cause of maternal morbidity and mortality, and one of the common obstetrical emergencies. Quite commonly, it occurs in patients where PPH is not expected. Management has to be swift and precise according to the steps and the response initiated by the uterine musculature during the management. In our patient, we had a localized multifocal atony of the uterus, at points where the uterine sinuses were bleeding due to atony, and medical management and uterine tamponade failed, with a raised D-dimer level. As the stepwise management failed with uterine devascularisation failing to control PPH, a decision for uterine compression suture (UCS), Cho suture was taken.

scholarly journals Hubungan Paritas dengan Kejadian Ketuban Pecah Dini

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Desi pramita sari Desi Pramita sari
Keyword(s):  
Postpartum Hemorrhage ◽  
Premature Birth ◽  
Maternal Morbidity ◽  
P Value ◽  
Premature Rupture Of Membranes ◽  
Early Complications ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Maternal Morbidity And Mortality ◽  
Cross Sectional Design

Premature rupture of membranes can cause various complications such as infection, prolonged parturition, postpartum hemorrhage, maternal morbidity and mortality, while in the fetus PROM can cause premature birth, decreased umbilical cord, hypoxia and secondary asphyxia. Based on the data taken at Batam city, the highest number of PROM cases from 3 hospitals was 546 cases, Harapan Bunda’s Hospital. This study aims to determine relationship Parity with premature rupture of membranes at Harapan Bunda Hospital Batam City. This research used method quantitative analitic survey with cross sectional design with 60 samples. The Conclusion the results obtained were there is relationship parity with premature rupture of membranes (p value = 0,001). Suggestions to clients and community to increase their knowledge about the cause PROM so that they can prevent or detect early complications that will occur in the future.

scholarly journals Effectiveness of the Intrauterine Compression Balloon in Postpartum Hemorrhage, Riobamba Provincial Teaching Hospital – October 2015 to September 2016

2021 ◽  
Author(s):  
Lino Arturo Rojas Pérez ◽  
Lino Arturo Rojas Cruz ◽  
María Daniela Villagómez Vega ◽  
Augusto Ernesto Rojas Cruz ◽  
Andrés Eduardo Rojas Cruz
Keyword(s):  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Hemodynamic Instability ◽  
Uterine Atony ◽  
Uterine Blood Flow ◽  
Pharmacological Management ◽  
Normal Delivery ◽  
Palabras Clave ◽  
Maternal Morbidity And Mortality ◽  
Para Determinar

  Introduction: Postpartum hemorrhage is blood loss greater than 500 mL after a normal delivery or more than 1000 mL after a cesarean section, or any postpartum bleeding regardless of the amount causing hemodynamic instability. The uterine blood flow in a term pregnancy is approximately 500 to 700 mL/min, for this reason, a patient who presents this complication, in a few minutes, can be drained and compromise her life. Objective: To determine the efficacy of the intrauterine compression, balloon in the management of postpartum hemorrhage due to hypotonia or uterine atony, at the General Teaching Provincial Hospital of Riobamba from October 2015 to September 2016. Methodology: The effectiveness of the use of the intrauterine compression balloon after the failure of pharmacological management was analyzed and statistical evaluation was applied to determine the efficacy of this method for the management of this pathology. Results: It was placed in 23 patients who presented postpartum hemorrhage due to hypotonia or uterine atony, and it had an effectiveness of 94.4% after a vaginal delivery and 80% after a cesarean section. Reaffirming that it is an excellent option in the management of this type of complications. Conclusions: Postpartum hemorrhage is the second cause of maternal death nationwide, technical and timely action will help reduce maternal morbidity and mortality that this pathology can present; the use of the intrauterine hydrostatic compression balloon is an excellent alternative prior to the surgical management of this pathology. Keywords: postpartum hemorrhage, uterine bleeding, uterine tamponade with balloon. RESUMEN Introducción: La hemorragia posparto es la pérdida sanguínea mayor de 500 mL luego de un parto normal o más de 1000 mL luego de una cesárea, o cualquier sangrado posparto independientemente de la cantidad que cause inestabilidad hemodinámica. El riego sanguíneo uterino en un embarazo a término es de aproximadamente 500 a 700 mL/min por tal motivo, una paciente que presente esta complicación, en pocos minutos puede quedar exangüe y comprometer si vida. Objetivo: Determinar la eficacia del balón de compresión intrauterino en el manejo de la hemorragia posparto por hipotonía o atonía uterina, en el Hospital Provincial General Docente de Riobamba de Octubre del 2015 a septiembre del 2016. Metodología: Se analizó la efectividad del uso del balón de compresión intrauterina luego del fracaso del manejo farmacológico y se aplicó la evaluación estadística para determinar la eficacia de este método para el manejo de esta patología. Resultados: Se colocó en 23 pacientes que presentaron hemorragia posparto por hipotonía o atonía uterina, y se tuvo una efectividad del 94.4 por ciento luego de un parto vaginal y del 80% luego de una cesárea. Reafirmando que es una excelente opción en el manejo de este tipo de complicaciones. Conclusiones: La hemorragia posparto es la segunda causa de muerte materna a nivel nacional, el accionar técnico y oportuno ayudará a disminuir la morbimortalidad materna que puede presentar esta patología; la utilización del balón de compresión hidrostático intrauterino es una excelente alternativa previo al manejo quirúrgico de esta patología. Palabras clave: hemorragia posparto, hemorragia uterina, taponamiento uterino con balón.

scholarly journals Uterine Necrosis following B-Lynch and Gunasheela's Global Stitch Sutures for Primary Postpartum Hemorrhage

2015 ◽  
Vol 1 (2) ◽  
pp. 38-40
Author(s):  
BS Punya ◽  
MPA Sailakshmi ◽  
Suhasini Akash
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Vaginal Delivery ◽  
Postpartum Hemorrhage ◽  
Maternal Morbidity ◽  
Uterine Wall ◽  
Emergency Laparotomy ◽  
Resonance Imaging ◽  
Maternal Morbidity And Mortality ◽  
Magnetic Resonance Imaging Mri

ABSTRACT Uterine atony causing postpartum hemorrhage (PPH) is one of the leading causes of maternal morbidity and mortality. Here by reporting a case of 22-year-old woman who underwent full-term vaginal delivery followed by atonic PPH, for which emergency laparotomy was done and stepwise devascularization along with B-Lynch and Gunasheela's global brace sutures over the uterus. On postoperative day 9, she developed features suggesting sepsis and magnetic resonance imaging (MRI) showed area of avascularity and features of abscess formation in the uterine wall. She underwent subtotal hysterectomy and histopathology showed uterine necrosis. How to cite this article Punya BS, Sailakshmi MPA, Akash S, Nagarathnamma R. Uterine Necrosis following B-Lynch and Gunasheela's Global Stitch Sutures for Primary Postpartum Hemorrhage. J Med Sci 2015;1(2):38-40.

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