scholarly journals Fertility and pregnancy outcomes following hypogastric artery ligation for severe post-partum haemorrhage

2003 ◽  
Vol 18 (4) ◽  
pp. 844-848 ◽  
Author(s):  
J. Nizard
Keyword(s):  
Pregnancy Outcomes ◽  
Post Partum ◽  
Hypogastric Artery ◽  
Artery Ligation ◽  
Post Partum Haemorrhage

Fertility and pregnancy outcome following hypogastric artery ligation for severe post-partum hemorrhage

2002 ◽  
Vol 78 ◽  
pp. S155
Author(s):  
Jacky Nizard ◽  
Ludivine Barinque ◽  
René Frydman ◽  
Hervé Fernandez
Keyword(s):  
Pregnancy Outcome ◽  
Post Partum ◽  
Hypogastric Artery ◽  
Artery Ligation ◽  
Post Partum Hemorrhage

scholarly journals Internal iliac artery ligation to combat post partum haemorrhage: an institutional review of case series

2017 ◽  
Vol 6 (6) ◽  
pp. 2347
Author(s):  
Anushree Jain ◽  
Rekha Uttam Sapkal
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Post Partum ◽  
Medical Science ◽  
Research Centre ◽  
Artery Ligation ◽  
Peripartum Hysterectomy ◽  
Internal Iliac Artery Ligation ◽  
Internal Iliac ◽  
Post Partum Haemorrhage

Background: Internal iliac artery supplies the pelvic viscera. IIAL is a valuable surgical procedure to control intractable pelvic haemorrhage with the mainstay aim of uterus preservation. There is a reduction of 85% in pulse pressure and 48% in the blood flow in the arteries distal after internal iliac artery ligation. Thus, the expertise to perform IIAL should be present in armamentarium of every obstetrician and gynaecologist.Methods: Retrospective review of 22 cases who have undergone IIAL or Peripartum hysterectomy for management of Post- Partum haemorrhage in the study period of January 2012 till December 2015 in the Department of Obstetrics and Gynaecology of People’s College of Medical Science and Research Centre, Bhopal.Results: Internal iliac artery ligation was performed in 53% out of which 31.8%% was for placenta previa, 4.54% for adherent placenta, 9.1% IIAL for Atonic PPH. Whereas peripartum hysterectomy was performed in 38% cases out of which 13.6% had perforation of uterus. 9% underwent hysterectomy as well as IIAL. Blood loss more than two 2 liters within period of 60-90mins was effectively and dramatically controlled with IIAL. Thus, maternal mortality reduced while preserving fertility. Control of Pelvic hemorrhage was achieved in 100% of cases.Conclusions: Bilateral ligation of the internal iliac arteries is a safe, rapid and very effective method of controlling bleeding from UTERUS and genital tract. It plays a major role in safe guarding the patient from undergoing life threatening consequences due to pelvic haemorrhage.

scholarly journals Experience with surgical options for managing atonic post-partum haemorrhage

1970 ◽  
Vol 3 (1) ◽  
pp. 10-13
Author(s):  
Rachana Saha ◽  
Chanda Karki ◽  
Saraswati M Padhye
Keyword(s):  
Genital Tract ◽  
Post Partum ◽  
Artery Ligation ◽  
Maternal Deaths ◽  
Single Procedure ◽  
Uterine Artery Ligation ◽  
Surgical Methods ◽  
Surgical Options ◽  
Post Partum Haemorrhage ◽  
Placenta Accrete

Aim: To analyse the measures taken for controlling primary Post-partum haemorrhage (PPH). Methods: A hospital based descriptive and retrospective study was carried out from 1st January 2005 to 31st December 2006 in the department of Obstetrics & Gynaecology at KMCTH. All patients of having primary Post-partum haemorrhage were analysed for the treatment they received. Results: There were 15 cases of primary Post-Partum Haemorrhage (PPH) from a total delivery of 700 in the year 2005. 9 cases were solely of atonic post-partum haemorrhage. 2 cases were genital tract injuries, 1 case of retained placenta, 1 case of vulval haematoma and 2 cases were of combined cervical tear and atonic primary post-partum haemorrhage. Atonic post-partum haemorrhage remained most important cause. The most common treatment was use of oxytocic. Surgical procedure bilateral uterine artery ligation was frequently performed in 6 cases but it was not effective as a single procedure. B-Lynch brace suture was applied in 5 cases and was successful without further intervention. There were 2 maternal deaths from post-partum haemorrhage. In the year 2006 total number of deliveries was 835 and there were total 11 cases of post partum haemorrhage. The trend changed to from atonic PPH to traumatic PPH. There were 8 cases of traumatic PPH and there were 2 cases of placenta accrete. There was one case of atonic PPH. The overall incidence in two years was 1.6%. Conclusion: Among the various surgical methods adopted B-Lynch brace suture was found to be simple, effective and minimally invasive. Keywords: Atonic post-partum haemorrhage (PPH), surgical management of PPH.  doi:10.3126/njog.v3i1.1432 NJOG 2008 May-June; 3(1): 10 - 13

THE EFFECT OF DECREASED HEMOGLOBIN LEVELS AT FIRST TRIMESTER ON MATERNAL AND FETAL OUTCOME – A RETROSPECTIVE STUDY

2021 ◽  
pp. 16-18
Author(s):  
Manasa D.R. ◽  
Sadananjali Sadananjali ◽  
Ramkrishna Yadgude
Keyword(s):  
Health Care ◽  
Retrospective Study ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Early Pregnancy ◽  
Pregnancy Outcomes ◽  
Negative Impact ◽  
Post Partum ◽  
Fetal Mortality ◽  
Post Partum Haemorrhage

Background And Objective: Iron deciency anemia, especially during the rst trimester has a more negative impact on both maternal & fetal well being. Commonly associated conditions are post partum haemorrhage, birth asphyxia, preeclampsia, low birth weight, preterm, abortions, still born and many more. Thus the study was aimed to determine the levels of haemoglobin in early pregnancy and effect of pregnancy outcomes at Primary Health Care, Ankalagi, Belagavi. Methodology: A retrospective study was done from 2017 April to May 2020 April for a period of three years at PHC, Ankalagi, Belagavi. Over 718 pregnant women were enrolled. Regular ANC was done. Data was collected on Maternal Age, Body mass Index (BMI), Number of parity and Socio-economic determinants. Other Demographic characteristics included rst trimester haemoglobin levels, gestational age at delivery & mode, birth weight, and pregnancy outcomes were recorded. Hemoglobin levels were estimated by Sahil's hemoglobinometer method. Categorised into four groups a) Normal :more than11g/L b) Mild anemia :9-10.9g/dl c) Moderate anemia (7-8.9g/dl) and d) Severe anemia (<7.0g/dl) Results: Mean age was 18±39 yrs. Nearly 39.75% were anemic in early pregnancy. Mild anemic were 20.75%(149), moderate anemic were18.10%(130)and severe anemic were 0.4%(3)respectively. The pregnancy outcome of low level haemoglobins duing rst trimester showed miscarriage/abortions of about18.79%, LSCS mode of delivery of about 17.02%, low birth weight of about 9.21%, preterm baby of about 2.12%, neonatal admissions of about 2.12%, still born of about 1.06%, and post partum haemorrhage of 1.77% respectively. Conclusion: The above ndings suggests that anemia in rst trimester denitely has negative impact on both maternal &fetal health. Thus adequate iron intake in early trimester (prior to conception) is crucial for healthy pregnancy. It is one of the preventable causes which can decrease the maternal & fetal mortality. Should reinforce the health education from adolescent girls, with regular antenatal check up and active participation of ASHA workers. Mothers should receive appropriate nutritional advice and supplementation at their rst point of contact with health care professionals

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