scholarly journals PERDARAHAN POSTPARTUM (PERDARAHAN PASKASALIN)

2020 ◽  
Vol 1 (1) ◽  
pp. 1-10
Author(s):  
Leo Simanjuntak
Keyword(s):  
Early Diagnosis ◽  
Maternal Death ◽  
Postpartum Hemorrhage ◽  
Genital Tract ◽  
Placental Tissue ◽  
Uterine Atony ◽  
Coagulation Disorders ◽  
Retained Placental Tissue

Postpartum hemorrhage is the leading cause of maternal death worldwide with 5 – 10%  of incidence. The etiology of postpartum hemorrhage are uterine atony, retensio placentae, genital tract laceration, retained placental tissue and coagulation disorders. It was estimated 2 hours period from the onset of postpartum hemorrhage toward the maternal death, meanwhile it was 12 hours in antepartum hemorrhage. It is therefor early diagnosis and prompt management is essential. The solid and skilled teamwork is needed in order to successfully manage postpartum hemorrhage and to avoid maternal death.

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 tamponade using condom catheter balloon in the management of non-traumatic postpartum hemorrhage

2018 ◽  
Vol 7 (7) ◽  
pp. 2617
Author(s):  
Renu Jain
Keyword(s):  
Postpartum Hemorrhage ◽  
Therapeutic Option ◽  
Ease Of Use ◽  
Uterine Atony ◽  
Wound Sepsis ◽  
Low Resource ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Condom Catheter ◽  
Febrile Morbidity

Background: In low-resource countries, Postpartum Hemorrhage (PPH) is the leading cause of maternal mortality. The intrauterine balloon tamponade was recently incorporated into the strategy to manage uterine atony. There are many types of tamponades. Among them, the condom catheter seems to be an efficient and economic intervention for the treatment of PPH in low-resource countries. The aim of present study was to evaluate the effectiveness of the condom catheter balloon in treating postpartum hemorrhage refractory to medical treatment.Methods: The retrospective analysis of 22 cases of PPH, treated with a condom catheter as a conservative therapeutic option, was done in department of Obstetrics and Gynaecology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India.Results: The condom catheter was successful in controlling PPH in 90.9% cases. It was effective in 94.44% women with uterine atony, who did not respond to uterotonic drugs. It was also effective in one case of placental implantation site bleeding and two cases of deranged coagulation function. In 2 cases it failed to control PPH and peripartum hysterectomy was done. The volume of saline solution used to fill the balloon was from 150 -350 ml and the time for which the balloon remained inflated was 36-48 hours. No case of febrile morbidity and wound sepsis was noted. There was no maternal death.Conclusions: Its ease of use and high effectiveness make condom catheter a useful approach for the conservative management of PPH. This device reduces bleeding, shortens the hospital stay and avoids the need for more aggressive procedures.

scholarly journals Genital tract cavernous hemangioma as a rare cause of postpartum hemorrhage

2017 ◽  
Vol 60 (5) ◽  
pp. 473 ◽  
Author(s):  
Bo Ram Yu ◽  
Ga Eul Lee ◽  
Dong Hyu Cho ◽  
Young Ju Jeong ◽  
Jeong Heon Lee
Keyword(s):  
Cavernous Hemangioma ◽  
Postpartum Hemorrhage ◽  
Genital Tract

scholarly journals Is uterine artery embolization in postpartum hemorrhage due to uterine atony a fertility-sparing intervention?

2022 ◽  
Vol 226 (1) ◽  
pp. S572-S573
Author(s):  
Rosine Ravaud ◽  
Michael Dassa ◽  
Jérome Soussan ◽  
Jean-Michel Bartoli ◽  
Aubert Agostini ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Uterine Atony ◽  
Artery Embolization ◽  
Fertility Sparing

scholarly journals Emergency Peripartum Hysterectomy as Postpartum Hemorrhage Treatment: Incidence, Risk factors, and Complications

2014 ◽  
Vol 52 (193) ◽  
pp. 668-676 ◽  
Author(s):  
Meena Pradhan ◽  
Yong Shao
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Blood Loss ◽  
Postpartum Hemorrhage ◽  
Placenta Previa ◽  
Uterine Atony ◽  
Previous Caesarean Section ◽  
Peripartum Hysterectomy ◽  
Incidence Risk ◽  
Emergency Peripartum Hysterectomy

Introduction: The aim of the research was to investigate incidence, risk factors, and complications associated with emergency peripartum hysterectomy, the ultimate treatment method for intractable postpartum hemorrhage.Methods: This is a single center case-control study conducted in Chongqing city in central China from 1st January 2007 to 31st December 2012 for emergency peripartum hysterectomy performed as a treatment of postpartum hemorrhage both in caesarean and vaginal delivery cases. While the study group included emergency peripartum hysterectomy (n=61) due to intractable postpartum hemorrhage, the control group included no hysterectomy (n=333) during the same study period.Results: We found 61 cases recorded for emergency peripartum hysterectomy for intractable postpartum hemorrhage. Incidence of peripartum hysterectomy was 2.2 per 1000 deliveries. Emergency peripartum hysterectomy as treatment of intractable postpartum hemorrhage include the followings: (i) blood loss 1000-2000 ml, crude odd ratio (OR) =18.48 (95% CI 5.1-65.7), adjusted odd ratio (AOR) = 9.1 (95% CI 2.2-37.7); (ii) blood loss >2000 ml, OR = 152 (95% CI 43.7-528.4), AOR = 45.3 (95% CI 11.6-176.9); (iii) previous caesarean section, OR = 5.5 (95% CI 2.9-9.7), AOR = 3.7(95% CI 1.4-9.9); (iv) uterine atony, OR = 11.9 (95% CI 5.8-24.6), AOR = 7.5 (95% CI 1.8-30.2); (v) placenta previa, OR = 2.04 (95% CI 1.1-3.5), AOR = none. Conclusions: Emergency peripartum hysterectomy is the last resort as treatment of intractable severe postpartum hemorrhage. Our study depicts that severe post partum hemorrhage, further dreaded complex events for emergency peripartum hysterectomy, has significant association with placental factors, previous caesarean section, and uterine atony. Pathologically, placenta accreta remained the most leading cause of hysterectomy.Keywords: caesarean section; hemorrhage; peripartum hysterectomy; placenta previa.

Surgical Prevention in Ovarian Cancer

2021 ◽  
pp. 194-206
Author(s):  
Alexios Papanikolaou ◽  
Anastasios Liberis ◽  
Anastasia Vatopoulou
Keyword(s):  
Ovarian Cancer ◽  
Primary Prevention ◽  
Early Detection ◽  
Early Diagnosis ◽  
Genital Tract ◽  
Female Genital Tract ◽  
Current Evidence ◽  
Advanced Stage ◽  
Stage Disease

Ovarian cancer is the second most common malignant disease of the female genital tract, but the first in mortality because it is usually diagnosed at an advanced stage. Options for early detection, diagnosis, and treatment are limited. Prevention of ovarian cancer relates to primary prevention by avoiding factors that are epidemiologically associated with an increased incidence of ovarian cancer and the adoption of protective habits. These include interventions to exclude the fallopian tubes and ovaries. Secondary prevention is related to early diagnosis. The chapter aims to summarize current evidence on prevention of ovarian cancer as well as role of surgery to prevent advanced-stage disease.

scholarly journals A Novel Approach to Teaching Placement of a B-Lynch Suture: Description of Technique and Validation of Teaching Model

2012 ◽  
Vol 4 (3) ◽  
pp. 367-369 ◽  
Author(s):  
Patrick F. Vetere ◽  
Christopher P. Wayock ◽  
Jolene Muscat ◽  
Genevieve Sicuranza
Keyword(s):  
Postpartum Hemorrhage ◽  
Pilot Project ◽  
Training Model ◽  
Realistic Model ◽  
Uterine Atony ◽  
Gravid Uterus ◽  
Rank Test ◽  
Large Hospital ◽  
Convenience Sample ◽  
Fertility Sparing

Abstract Introduction Postpartum hemorrhage is a major cause of maternal morbidity and mortality throughout the world and uterine atony is the leading cause of postpartum hemorrhage. The B-Lynch brace suture is a fertility-sparing approach to treating intractable uterine atony at the time of cesarean delivery. However, many obstetricians lack confidence to perform this procedure, which they may not have performed during residency. In order to train all residents to perform the B-Lynch brace suture, we developed a realistic model by using a flank steak to imitate a gravid uterus. Methods A convenience sample of obstetrics-gynecology faculty and residents at different levels of training at a single large hospital participated in this pilot project. Each physician reported self-perceived understanding of and confidence in performing the B-Lynch procedure before and immediately after practicing the technique using the flank-steak model, via a Likert-type survey (scale 1  =  low, 5  =  high). A Wilcoxon matched-pairs signed rank test was used to compare the before and after responses. Results Thirty-four participants completed the flank-steak model training and pretraining/posttraining surveys. The median score (range) for self-perceived understanding was 4 (2–5) and increased to 5 (4–5) (P < .01) after exposure to the training model. The confidence scores rose from 3 (1–5) to 5 (4–5) (P < .01) after training. Conclusion The flank-steak model for teaching the B-Lynch suture significantly improved resident and faculty self-perceived understanding of and confidence in performing this procedure, which is otherwise rarely practiced in residency.

scholarly journals The magnitude and associated factors of postpartum hemorrhage among mothers who delivered at Debre Tabor general hospital 2018

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Daniel Habitamu ◽  
Yitayal Ayalew Goshu ◽  
Likenaw Bewuket Zeleke
Keyword(s):  
General Hospital ◽  
Postpartum Hemorrhage ◽  
Genital Tract ◽  
Associated Factors ◽  
Response Rate ◽  
Previous History ◽  
Chi Square ◽  
Care Visit ◽  
Debre Tabor ◽  
Chi Square Test

Abstract Objective Since data related to postpartum hemorrhage in Ethiopia is scarce, this study was aimed to assess the magnitude and associated factors of postpartum hemorrhage among mothers who delivered in Debre Tabor general hospital. Results In this study, one hundred forty-four mothers’ charts were reviewed which made the response rate 100%. This study revealed that the magnitude of postpartum hemorrhage was 7.6% (CI 6.2, 9.8). Chi-square test revealed that there was an association between postpartum hemorrhage and gravidity, parity, having antenatal care visit, and the previous history postpartum hemorrhage. This finding confirmed that uterine atony, retained placenta, and genital tract trauma were the most common leading cause of postpartum hemorrhage.

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