Uterine Compression Sutures as an Effective Treatment for Postpartum Hemorrhage: Case Series

We evaluated the role of uterine compression sutures as a conservative treatment for postpartum hemorrhage (PPH) after failed medical treatment. We retrospectively reviewed the charts of all patients who delivered between 2003 and 2009 at a single tertiary care center and who underwent uterine compr...

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Bibliographic Details
Main Authors: Nihal Al Riyami (Author), Dini Hui (Author), Elaine Herer (Author), Ori Nevo (Author)
Format: Book
Published: Thieme Medical Publishers, Inc., 2011-09-01T00:00:00Z.
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Summary:We evaluated the role of uterine compression sutures as a conservative treatment for postpartum hemorrhage (PPH) after failed medical treatment. We retrospectively reviewed the charts of all patients who delivered between 2003 and 2009 at a single tertiary care center and who underwent uterine compression sutures for PPH. Twelve women had uterine compression sutures for PPH. The mean age of the patients was 36.3 ± 5.2 years. The mean gestational age at delivery was 37.7 ± 2.0 weeks, and the average estimated blood loss was 2.1 ± 1.1 L. The mean procedure time to perform the uterine compression sutures was 9.3 ± 2.8 minutes. The success rate of compression sutures was 92% with only one failure resulting in a hysterectomy. Uterine compression sutures are an effective method for the treatment of PPH, thus avoiding hysterectomy and preserving potential fertility.
Item Description:10.1055/s-0031-1280570
2157-6998
2157-7005