Uterine packing efficacy in postpartum hemorrhage. About 99 cases. The experience of a French hospital level 2 A

被引：4

作者：

Makosso, M. ^{[1
]}

Kone, A. -B. ^{[1
]}

Rossignol, M. ^{[2
]}

Benos, P. ^{[3
]}

de Tayrac, R. ^{[4
]}

Mares, P. ^{[4
]}

机构：

[1] Ctr Hosp, Serv Gynecol Obstet, F-30206 Bagnols Sur Ceze, France

[2] Ctr Hosp, Dept Anesthesie & Reanimat, F-30200 Bagnols Sur Ceze, France

[3] Ctr Hosp Univ Arnaud Villeneuve, Serv Gynecol Obstet, F-34295 Montpellier 5, France

[4] Ctr Hosp Univ Caremeau, Serv Gynecol Obstet, F-30000 Nimes, France

来源：

JOURNAL DE GYNECOLOGIE OBSTETRIQUE ET BIOLOGIE DE LA REPRODUCTION | 2015年 / 44卷 / 01期

关键词：

Postpartum haemorrhage; Intra-uterine mesh; Intra-uterine compression;

D O I：

10.1016/j.jgyn.2013.12.010

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective. - To show place and usefulness of intra-uterine compression in management of postpartum haemorrhage (PPH). Material and methods. - Retrospective cohort study, monocentric, including all consecutive cases of PPH during four years in an obstetric department of level Ila. The compression technique was the use of intra-uterine meshes, and efficacy was defined as a total and immediate bleeding interruption. Apart of meshes, patients received sulprostone then ocytocine and antibiotics. Results. - The rate of PPH was 3.8% on 3913 deliveries. One hundred and fifty patients with PPH were managed following CNGOF guidelines. Ninety-nine patients were also treated with intra-uterine meshes during 24 hours. The rate of mesh success was 91.9%. Sixty-two cases of subsequent pregnancies were also reported. Conclusion. - In case of PPH, intra-uterine compression using meshes is simple, cheap and efficient. That technique could avoid the use of invasive surgical procedures and a safer post-natal transfer. (C) 2013 Elsevier Masson SAS. All rights reserved.

引用

页码：53 / 62

页数：10