Background: Study was conducted to analysis efficacy of compression suture in the surgical management of Atonic PPH. It’s prospectively carried out with 60 cases required compression suture in managing Atonic PPH. Atonic uterus is preventable cause of maternal mortality and morbidity constituting 80% PPH cases.Methods: Prospective study carried out at tertiary care center for studying efficacy of compression suture in the surgical management of atonic PPH for one year, started after approval from ethical committee.Results: Compression suture is effective in managing atonic PPH. out of 60 cases, 4 patient's required obstetric hysterectomy as a last resort to control Atonic PPH. Uterus was conserved in 93.3% of cases.Conclusions: Development of compression suture technique has proved to be effective in the control of massive Atonic PPH not responding to medical management is an alternative to hysterectomy when timely applied. It proves to be valuable addition for surgical treatment of PPH and for saving uteri after medical management of PPH failed. Authors can adopt compression suture as a mid-step before resorting to uterine devascularisation or hysterectomy when medical line of management fails. Resident doctors in teaching institutes must be well trained in this technique.
A 1248 m long core (KBH 07, 17°18'07" N; 73°47'28.2"E, 960m above msl) drilled up to basement in the Deccan traps from Koyna region was sampled at ∼10m interval for magnetic mineralogical studies. Analysis of routine rock magnetic parameters (mass specific magnetic susceptibility: χlf, frequency dependence of susceptibility: χfd, susceptibility of anhysteretic remanance: χARM, saturation isothermal remanance: SIRM, remanance coercivty: B(0)CR, SoftIRM, HardIRM, S-Ratio, SIRM/χlf, χARM/χlf) and density (σ, gm/ cc) depicted significant higher order temporal variation. The χlf varies between 13 and 309 x 10−8m3/kg and is independent of density variation. The χARM, B(0)CR and S-Ratios indicate majority of SD-PSD ferrimagnets with episodes of MD ferrimagnetic concentration and few hard coercivity components. The giant plagioclase lath bearing (GPB) horizons show highest variability of ferrimagnetic concentration marked by anomalous peaks. Overall the variability of rock magnetic parameters independent of lava flow units suggest that the changeover in magnetic mineral concentration, composition and domain size occur at major episodes in magma composition (e.g., primary source, crustal contamination and fractional crystallization). The studied parameters are therefore examined to mark intervals of (i) magma compositional changes, (ii) zones of oxidative conditions and (iii) rapid/slow cooling intervals demanding detailed petrologic studies. We identified one I order trend, four II order cycles and eight III order cycles for the purpose of correlation. Notable peak in χlf at 650-700m, the changeover in rock magnetic parameters at ∼930 m and ∼280 m can facilitate marker intervals while several higher order variations can be adopted for high resolution correlation to other boreholes in the region. The complex variation in rock magnetic parameters independent of flow units reflect temporal magnitudes of compositional variability, cooling and emplacement history that needs detailed petro-mineralogical attempts; and the present data is useful for high order inter-core correlations under the deep drilling program.
Anisotropy of Magnetic Susceptibility (AMS) as a tool has been explored here to investigate the nature of petrofabrics in Deccan Volcanic Province (DVP) of west-central Indian region by representative sampling in typical pahoehoe and rubbly pahoehoe lava flows, dykes within flows, shear zone and the impact crater units. The rock magnetic analysis indicate varying degree of concentration of titanomagnetite compositions dominated by multi domain (MD) to pseudo single domain (PSD) grains favoring shape anisotropy of minerals that form primary fabrics. The pahoehoe type lava flows shows planar oblate fabrics without any preferred orientation of principle susceptibility axis (K1) depicting crystal settling (of magnetic grains) as chief mechanism of fabric development. The rubbly pahoehoe type lava flow exhibit prolate fabrics with well clustered maximum susceptibility axis within horizontal to sub-horizontal planes depicting their response to viscosity shear. The dykes show well clustered K1 parallel to it’s plane locked during rapid contractional cooling. The sampling at Lonar impact crater was unable to trace any clear fabric due to impact/shock induced deformation and rather preserve the primary fabrics. Further, the shear zone depict random fabrics demanding more detailed and systematic sampling in both the cases. The present investigation infer that the magnetic mineralogy and magnetic fabric variations in the DVP are controlled by the flow mechanism and style of cooling that is characteristic of the given flow unit or dyke and any secondary or superimposed fabric needs to be examined by critical sampling strategy. While more detailed attempts are required to establish the AMS as a tool to record various aspects including the flow dynamics and rate of effusion in the vast terrain of DVP; the present approach is useful to characterize and correlate the lava flow units and dyke occurrences.
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