Manual removal of the placenta and postpartum hemorrhage: A multicenter retrospective study

2021 ◽  
Author(s):  
Kei Fujita ◽  
Takafumi Ushida ◽  
Kenji Imai ◽  
Tomoko Nakano‐Kobayashi ◽  
Yukako Iitani ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Postpartum Hemorrhage ◽  
Manual Removal

scholarly journals Role of emergency bilateral internal iliac ligation in postpartum hemorrhage

2021 ◽  
Vol 10 (8) ◽  
pp. 3086
Author(s):  
Sunder Pal Singh ◽  
Shipra Misra ◽  
Naresh Sharma
Keyword(s):  
Retrospective Study ◽  
Iliac Artery ◽  
Postpartum Hemorrhage ◽  
Internal Iliac Artery ◽  
Placenta Previa ◽  
Uterine Perforation ◽  
Life Saving ◽  
Internal Iliac ◽  
Early Decision

ABSTRACTBackground: The aim of the study was to determine the effectiveness of emergency bilateral internal iliac ligation in intractable postpartum hemorrhage.Methods: A retrospective study was done on 33 women who have undergone emergency bilateral internal iliac ligation in obstetrics haemorrhage.Results: In all of 33 women under this study bilateral internal iliac ligation was performed in emergency. (11) of the cases were of atonic PPH, placenta previa (8), uterine rapture (7), extension of C-section scar (3), vaginal and cervical laceration (3) and uterine perforation (1). hysterectomy was not performed in any of the cases. internal iliac artery was injured in one case during the procedure and was managed successfully but two patients died during and after the BIIL.Conclusions: BIIL is an effective, less time consuming and life-saving procedure in intractable obstetrics hemorrhage if early decision is taken and performed by practiced surgeons.

scholarly journals A risk model to predict severe postpartum hemorrhage in patients with placenta previa: a single-center retrospective study

2019 ◽  
Vol 8 (5) ◽  
pp. 611-621 ◽  
Author(s):  
Cheng Chen ◽  
Xiaoyan Liu ◽  
Dan Chen ◽  
Song Huang ◽  
Xiaoli Yan ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Postpartum Hemorrhage ◽  
Risk Model ◽  
Placenta Previa ◽  
Single Center

scholarly journals Uterovaginal Packing as Treatment in Primary Postpartum Hemorrhage in Patan Hospital

2016 ◽  
Vol 11 (1) ◽  
pp. 44-46
Author(s):  
Binita Pradhan ◽  
Laxmi RC ◽  
P Sharma ◽  
Alka Singh
Keyword(s):  
Retrospective Study ◽  
Postpartum Hemorrhage ◽  
Uterine Atony ◽  
Exclusion Criteria ◽  
Vaginal Canal ◽  
Sterile Gauze ◽  
Povidine Iodine ◽  
Uterine Fundus

Aims: To study the effectiveness of uterovaginal packing in the management of primary postpartum hemorrhage (PPH).Methods: This is a retrospective study conducted in Patan hospital, Lalitpur from January 2009-2011. Patients included in the study were those with intractable hemorrhage not responding to oxytocics. Exclusion criteria included cases of PPH due to trauma. Packing was done using approximately six inches sterile gauze soaked with povidine iodine packed into the uterus from the uterine fundus up to the vaginal canal. The packing is removed after 48 hours of insertion or earlier in cases of failure to control hemorrhage.Results:  There were 46 cases of  uterovaginal packing for primary PPH. Uterine atony was the commonest cause of packing. Uterovaginal packing was successful in 39(84.7%) cases.Conclusion: Uterovaginal packing is safe, easy and quick procedure to manage primary PPH. It is beneficial in cases of PPH due to atony thereby conserve the uterus.

scholarly journals Postpartum Hemorrhage after Cesarean Delivery - Causes and Management Statistics of „Prof. Dr. Panait Sîrbu „ Hospital- Bucharest

2014 ◽  
Vol 20 (1) ◽  
pp. 30-34
Author(s):  
Pană D.P. ◽  
Georgescu Carmen ◽  
Mitran M. ◽  
Mitran Loredana
Keyword(s):  
Retrospective Study ◽  
Statistical Analysis ◽  
Caesarean Section ◽  
Postpartum Hemorrhage ◽  
Medical Management ◽  
Clinical Manifestations ◽  
Obstetrics And Gynecology ◽  
The World ◽  
Hemorrhagic Complications ◽  
Anesthetic Risk

ABSTRACT Postpartum hemorrhages represent a major cause of maternal mortality everywhere in the world and in Romania obstetrical hemorrhages are directly incriminated in 47.85% from the cases reported between 1975 -2010. This retrospective study over a period of five years (2008 - 2012) includes the clinical-statistical analysis of postpartum hemorrhages (PPH) registered in “Prof. Dr. Panait Sîrbu” Clinical Hospital of Obstetrics and Gynecology in Bucharest. During the period under analysis there were 20204 births, out of which 13012 were vaginal and 7192 by caesarean section. There were 853 cases of postpartum hemorrhage with significant clinical manifestations, which required medical management, 4.22% of all births. In 459 cases there were reported hemorrhagic complications after caesarean section (6.368% of caesarean sections), representing 53.81% of postpartum hemorrhage. The severity of intra-operative and post-cesarean bleeding is due to its association to anesthetic risk, which is more important in cesarean, as well as to the associated pathology that indicated the caesarean section in the first place

scholarly journals Women with maternal near-miss in the intensive care unit in Yangzhou, China: a 5-year retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ying Chen ◽  
Jiaoyang Shi ◽  
Yuting Zhu ◽  
Xiang Kong ◽  
Yang Lu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Postpartum Hemorrhage ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Near Misses ◽  
Live Births ◽  
Cesarean Birth

Abstract Background Analysis of “maternal near-misses” is expected to facilitate assessment of the quality of maternity care in health facilities. Therefore, this study aimed to investigate incidence, risk factors and causes of maternal near-misses (MNM) admitted to the intensive care unit (ICU) within five years by using the World Health Organization’s MNM approach. Methods A five-year retrospective study was conducted in Subei People’s Hospital of Yangzhou, Jiangsu Province from January 1, 2015 to December 31, 2019. Risk factors in 65 women with MNM in the intensive care unit (ICU) were explored by using chi-square tests and multivariable logistic regression analysis. Causes and interventions in MNM were investigated by descriptive analysis. Results Average maternal near-miss incidence ratio (MNMIR) for ICU admission was 3.5 per 1000 live births. Average maternal mortality ratio (MMR) was 5 per 100,000 live births. MI for all MNM was 0.7%. Steady growth of MNMIR in ICU was witnessed in the five-year study period. Women who were referred from other hospitals (aOR 3.32; 95%CI 1.40–7.32) and had cesarean birth (aOR 4.96; 95%CI 1.66–14.86) were more likely to be admitted in ICU. Neonates born to women with MNM admitted in ICU had lower birthweight (aOR 5.41; 95%CI 2.53–11.58) and Apgar score at 5 min (aOR 6.39; 95%CI 2.20–18.55) compared with women with MNM outside ICU. ICU admission because of MNM occurred mostly postpartum (n = 63; 96.9%). Leading direct obstetric causes of MNM admitted in ICU were hypertensive diseases of pregnancy (n = 24; 36.9%), followed by postpartum hemorrhage (n = 14; 21.5%), while the leading indirect obstetric cause was heart diseases (n = 3; 4.6%). Conclusions Risk factors that were associated with MNM in ICU were referral and cesarean birth. Hypertensive disease of pregnancy and postpartum hemorrhage were the main obstetric causes of MNM in ICU. These findings would provide guidance to improve professional skills of primary health care providers and encourage vaginal birth in the absence of medical indications for cesarean birth.

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