A Retrospective Observational Study of Bilateral Internal Iliac Ligation (BIAL) as a Therapeutic Measure in Severe Obstetric Hemorrhage at a Tertiary Care Centre in North Maharashtra
Journal Title: Indian Journal of Law and Human Behavior - Year 2017, Vol 4, Issue 1
Abstract
Background: Obstetric hemorrhage is major cause of maternal mortality worldwide. In India obstetric hemorrhage constitutes 38% of maternal deaths. BIAL is advocated as effective means of controlling severe obstetric hemorrhagepreventing maternal mortality and morbidity. Aims: To study effectiveness and outcome of BIAL IN severe obstetric hemorrhage as therapeutic measure. Setting & Design: The present study is carried out Dept of obs/gynae, Govt medical college. It is a retrospective observational study done among patients who have undergone BIAL as therapeutic measure to control severe obstetric hemorrhage. Methods: The study was conducted from January 2011 to January 2016. universal sampling done. Data of 25 patients collected in prestructured questionnaire, collected data analysed using MS Excel software. Statistical Analysis: Frequency analysis done for study variables. Results: During this 5 yr period BIAL was done in 25 patients. 40 % of the patients were from the age group of 25-29 yrs,36% patients were primipara and 28% patients were grand multipara. In Maximum no of patients BIAL was done patients for atonic PPH (32%), followed by for rupture uterus (20%). The effectiveness of BIAL was 92% & uterus conservation was 72%,with no major complication encountered. Conclusion: Early & prompt decision of BIAL in severe obstetric hemorrhage is very effective as therapeutic measure to save life as well as to preserve fertility of the patients.
Authors and Affiliations
Bhushan Bhalchandra Rao
Keywords
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- EP ID EP453338
- DOI 10.21088/ijmfnm.2347.999X.4117.1
- Views 62
- Downloads 0
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