Prophylactic SR PPH Suction Cannula application for High risk Women for Atonic PPH.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Background: Prophylactic application of SR PPH suction cannula in high risk women for atonic PPH may help to prevent blood loss and avoid catastrophic atonic PPH. Methods: Twenty two women with different risk factors for atonic PPH like obstructed prolonged labor, accidental hemorrhage, PIH, anemia complicating pregnancy, multifetal pregnancy, and hydramnios, either alone or in combination, and who delivered either normally or by caesarean section were included in this study. Age, parity, gestational age at delivery was recorded. The uterine portion of the cannula was inserted into the uterine cavity up to the level of fundus immediately after placental delivery in both cases of vaginal and caesarean deliveries. The nipple of the cannula was connected to suction machine with thick walled flexible non collapsible suction tube. A negative pressure of 650 mmHg was created inside the uterine cavity and maintained for 10-15mints. Application of negative pressure was repeated every hour for 10mints for 3hours. The cannula was removed one hour after last suction procedure. The blood collected in suction bottle was measured and recorded. Results: Contraction and firm retraction of uterus was observed in all women within 2-3mns after initiation of procedure. The amount of blood collected in suction bottle ranged from 50ml to 200ml. Conclusion: Prophylactic application of SR PPH suction cannula in high risk women for atonic PPH is a very effective physical method, which assists the natural physiological process of contraction and retraction. This technique minimizes blood loss, and avoids catastrophic atonic PPH.
Authors and Affiliations
Samartha Ram Hemmanur, Sai Samyuktha Illa.
Keywords
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- EP ID EP431040
- DOI 10.9790/0853-1801042326.
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