External aortic compression device: The first aid for postpartum hemorrhage control

Abstract

EACD is a cost-effective and easily applied maneuver that allows satisfactory management of PPH without maternal mortality or morbidity. It is of value in developing countries.

Assessing changes in flow velocimetry and clinical outcome following use of an external aortic compression device in women with postpartum hemorrhage

“…International Journal of Gynecology and Obstetrics j o u r n a l h o m e p a g e : w w w. e l s ev i e r. c o m / l o c a t e / i j g o our previous study [5]. Signed informed consent was requested on hospital admission, and given by all future participants.…”

“…Our team recently designed and introduced the External Aortic Compression Device (EACD) as a firstaid tool for controlling PPH. This cost-effective, easily applied device has so far appeared to be safe and effective in reducing maternal morbidity and mortality [5]. However, some women with PPH treated using the EACD in our previous study experienced numbness and tingling in the legs [5], which may be symptoms of ischemia, and warrants further investigation.…”

“…This cost-effective, easily applied device has so far appeared to be safe and effective in reducing maternal morbidity and mortality [5]. However, some women with PPH treated using the EACD in our previous study experienced numbness and tingling in the legs [5], which may be symptoms of ischemia, and warrants further investigation. Elastic fibers are in higher proportion than smooth muscle cells and collagen in the aorta, allowing the artery's walls to expand when blood volume increases [6].…”

Uterine Atony: Management Strategies

“…Aortic compression is a simple intervention that can be used while preparing for a definitive management or during the transfer of patient from a district hospital to another tertiary hospital. External aortic compression devices have been described by several authors (Winter, 1939;Soltan et al, 2009). These have been shown to be effective in reducing the resuscitation time and also the amount of blood being transfused with minimal side-effects reported.…”

Evaluation of process management of postpartum hemorrhage due to uterine atony

“…If medical treatment fails and there is still persistent bleeding, a tamponade of the uterus or the external aortic compression [5] may be effective in decreasing hemorrhage and subsequent potential morbidity and mortality. Surgical interventions such as uterine artery ligations, compressive uterine sutures as the B-Lynch surgical technique or an arterial embolization in patients with stable vital signs should be used to obviate the need for hysterectomy.…”