Analysis of surgical management of postpartum hemorrhage: At tertiary centre
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 3
Abstract
Postpartum hemorrhage PPH is one of the leading cause of maternal morbidity and mortality Major blood loss of over 1000ml of blood occurs in 15 of deliveries WHO statistics suggest that 25 of maternal deaths are due to PPH accounting for more than 100000 maternal deaths annually2Internal Iliac Artery Ligation IIAL is effective method to control intractable PPH and prevent maternal mortality In our RL Jalappa hospital a tertiary referral centre we did a retrospective study of patients who are managed for PPH between Jan 2006 Jan 2016 In our study out of 110 PPH patients eighty of them underwent IIAL during the study periodOut of 80 IIAL cases PPH due to uterine atony 55 uterine rupture 23 placenta previa 8 placental abruption 6 placenta increta 4 and broad ligament hematoma 4 Medical management was successful in 30 cases Hysterectomy was done in 6 cases IIAL was proved to be successful method of controlling hemorrhage in our study We found that this is one of the best surgical method of management of PPH so as to retain uterus thereby future fertilityKeywords Postpartum hemorrhage PPH Internal iliac artery ligation IIAL
Authors and Affiliations
Sheela S. R, Sreeramulu PN, Nagajyothi S
Keywords
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- EP ID EP475141
- DOI 10.18231/2394-2754.2018.0086
- Views 95
- Downloads 0
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