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Efficacy of Nakornping Uterine Compression Suture onPersistent Uterine Atony after Caesarean Section |
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| รหัสดีโอไอ | |
| Creator | Jittra Witthayanukool, M.D. |
| Title | Efficacy of Nakornping Uterine Compression Suture onPersistent Uterine Atony after Caesarean Section |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2559 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 24 |
| Journal No. | 4 |
| Page no. | 231 |
| Keyword | Uterine compression suture, persistent uterine atony |
| ISSN | 0857-6084 |
| Abstract | Objectives: The purpose of the study is to demonstrate the technique of applying Nakornpinguterine compression suture after caesarean section and to evaluate the effectiveness of thissurgical intervention for the management of uterine atony resistant to traditional medicaltreatments.Materials and Methods: The medical records of 3,949 patients who had caesarean deliveries atNakornping Hospital from October 2011 to September 2014 were retrospectively analyzed.Uterine atony occurred in 137 caesarean delivering patients. Sixty one patients with persistentuterine atony after receiving bimanual compression, uterine massage and uterotonic medicationsas per the hospital standard treatment protocol for postpartum hemorrhage management weretreated with the placement of the Nakornping uterine compression suture. The mean time toperform the procedure was 2.2 ? 0.4 minutes.Results: For all sixty one patients receiving Nakornping uterine compression suture, thetreatment was successful. Nakornping uterine compression suture was sufficient to stop thebleeding immediately in 100% of the patients. There were no complications observed eitherduring or after the procedure. All sixty one patients had normal lochia post caesarean delivery.The patients were discharged after a median of 4 days hospital stay. When pelvic ultrasoundwas done on day 3 and day 7 post operations on two patients, the study showed normal uterinecontour and no flid was found in the uterine cavity. Hysterosalpingography was performed ontwo patients on week 6 after the procedure, the study revealed normal fidings. Four patients(6.6%) had subsequent pregnancies with caesarean delivery.Conclusion: Application of Nakornping uterine compression suture was effective in treating uterineatony after caesarean section. It is a simple and rapid procedure in the clinical practice. |
