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: The Indian Journal of Maternal-Fetal and Neonatal Medicine - 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
Related Articles
- EP ID EP454158
- DOI 10.21088/ijmfnm.2347.999X.4117.1
- Views 111
- Downloads 0
Hypoglycemia- How Long and how Frequent to Monitor in Infants of Diabetic Mothers?
Background: Diabetes is a very common complication seen during pregnancy. Infants born to diabetic mothers are at a higher risk for hypoglycemia. Monitoring for hypoglycemia is necessary, but the duration and the frequen...
To Study the Time of Separation of Umbilical Cord
Context: Umbilical cord is the lifeline of foetus. The usual time of separation of umbilical cord is 7 to 10 days. Some studies have shown that factors like sex, birth weight and mode of delivery affect the time of separ...
Prevalence of Premenstrual Syndrome and Coping Behavior among Higher Secondary School Girls
Background: Premenstrual syndrome is a psychosomatic disorder of unknown etiology often noticed just prior to menstruation. Premenstrual symptoms are a group of symptoms linked to the menstrual cycle. Premenstrual sympto...
Pregnancy with Subclinical Hypothyroidism: Obstetric and Neonatal Effects
Thyroid disorders are common for the Obstetrician as well as neonatologist and paediatrician in their day to day practice. While there are universal consensus, clear guidelines and treatment protocols for treating overt...
Comparative Study of Intravenous Iron Sucrose Versus Ferric Carboxymaltose for the Treatment of Iron Deficiency Anemia during Pregnancy and Postpartum Period
Objectives: The present study aims at advantages of ferric carboxymaltose therapy over iron sucrose in iron deficiency anaemia of ante natal and postnatal patient. Methods: A prospective observational study was carried...