Identification, prevention and management of post-partum haemorrhage

Dey, Teesta; Weeks, Andrew

doi:10.1016/j.ogrm.2020.05.002

Cited by 5 publications

(8 citation statements)

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“…This study concluded that uterine tamponade is an effective therapy for PPH, is easy to use, and has a low risk of harm (Tindell et al, 2013). This is in line with research by Dey et al (2020), which states that the success of uterine tamponade in treating PPH is 80%, so it is recommended for therapy for refractory PPH (Dey al al., 2022). Research conducted by Suarez et al (2020) from 91 studies with 4729 patients, cited in the study by Phillips et al (2023), also obtained similar results.…”

Section: C) Relationship Between Uterine Atonia and The Use Of Uterin...supporting

confidence: 75%

“…A positive tamponade test is defined as blood drained from the uterus ≤50 mL after 30 minutes of uterine tamponade installation (Phillips et al, 2023). Based on a study conducted by Dey et al (2020) stated that 4-6 hours is sufficient to overcome PPP effectively. This is in line with a retrospective cohort study of 274 patients conducted by Phillips et al (2023); this study states that removal of uterine tamponade is recommended <12 hours after bleeding has improved to reduce the frequency of postpartum fever.…”

Section: C) Relationship Between Uterine Atonia and The Use Of Uterin...mentioning

confidence: 99%

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The effectiveness of using uterine tampons in treating uterine atony

Selvilla,

Siregar,

Jap

et al. 2023

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Postpartum hemorrhage is excessive bleeding that occurs after delivery due to blood loss of 500 mL in a standard delivery or 1,000 mL in a cesarean delivery. Postpartum hemorrhage is divided into primary and secondary and classified based on the 4 Ts: tone, trauma, tissue, and thrombin. Uterine atony is the most common cause. The use of uterine tamponade is an option to treat postpartum hemorrhage (PPP) because it is relatively non-invasive, with a success rate of more than 80%. Using uterine tamponade is easy and quite simple but requires hands-on training to increase confidence in installing uterine tamponade. The literature sources used are Google Scholar, Pubmed, Science Direct, Hindawi, Medline, and Cochrane. After obtaining appropriate literature, the literature is compiled. Uterine tamponade is a second-line treatment for uterine atony that does not respond to uterotonics. Based on the literature search that has been carried out, uterine tamponade is an effective therapy for PPH, is easy to use, and has a low risk of harm with a success rate of 80-87.3%. The use of uterine tamponade can also significantly reduce the need for invasive procedures. Uterine atony is the most common cause of PPH, which results in morbidity and mortality. Uterine tamponade has been proven to be effective, safe, practical, and cheap to treat PPH in daily practice. Further research may be needed in Indonesia to determine the effectiveness of uterine tamponade in treating uterine atony.

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Section: C) Relationship Between Uterine Atonia and The Use Of Uterin...supporting

confidence: 75%

Section: C) Relationship Between Uterine Atonia and The Use Of Uterin...mentioning

confidence: 99%

The effectiveness of using uterine tampons in treating uterine atony

Selvilla,

Siregar,

Jap

et al. 2023

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“…A single bolus of 100 μg carbetocin has been shown to be as effective as a continuous 16-h infusion of oxytocin in reducing the intraoperative blood loss in women undergoing elective cesarean delivery 7 . Carbetocin also resulted in a significantly lower incidence of additional oxytocin intervention in the carbetocin group compared with the oxytocin group in women undergoing elective cesarean delivery [8][9] . However, another study demonstrated a different result that carbetocin have similar requirements for additional uterotonics at non-elective cesarean section [10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have shown that a 10 to 70 μg dose following vaginal delivery caused contractions and no adverse side effects 13 . The recommended dose for an average adult female is 100 μg, administered slowly over a minute 8 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Complication and Post-Operative Infection Rate Between Application of Carbetocin and Oxytocin during Management of Post-Partum Hemorrhage after Caesarean Section

Choudhury,

Noor,

Tanzin

et al. 2023

Bangladesh J. Infect. Dis.

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Background: Adverse effects can be produced by carbetocin and oxytocin during management of post-partum hemorrhage after caesarean section. Objective: The purpose of the present study was to compare the adverse effects among women with post-partum hemorrhage after caesarean section. Methodology: This randomized controlled trial was conducted in the Department of Obstetrics and Gynaecology at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from July 2015 to December 2015 for a period of six months. Pregnant women diagnosed on the standard criteria admitted in BSMMU, Dhaka, Bangladesh were selected as study population by consecutive type of sampling. Randomization was performed according to computer generated simple random sampling method. An Uterotonic was an agent used to induce contraction or greater tonicity of the uterus. Then the patients were monitored per operatively and post operatively. All the information was recorded in data collection sheet. Main outcome variables were estimated blood loss. Results: A total number of 96 pregnant women were recruited for this study of which 48 cases were enrolled in group I and the rest of 48 case were enrolled in group II. The mean age with SD of the group I and group II were 24.4±4.7 years and 24.7±3.7 years. In blood transfusion of the study patients, 2(4.2%) patients need blood transfusion in group I and 5(10.4%) in group II (p>0.05). One (2.1%) patients had anaemia in group I and 5(10.4%) in group II. Forty-six (95.8%) patients had average menstrual flow in group I and 40(83.3%) in group II (p>0.05). Considering the side effect, 1(2.1%) patients had nausea in group I and 4(8.3%) in group II. Two (4.2%) patients had vomiting in group I and 5(10.4%) in group II. One (2.1%) patients had headache in group I and 4(8.3%) in group II. Four (8.3%) patients had infection rate in group I and 5(10.4%) in group II (p>0.05). Conclusion: In conclusion blood transfusion, anaemia, vomiting and infection rate are found less in group I than group II. Bangladesh Journal of Infectious Diseases, December 2023;10(2):59-64

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“…(1,2) Postpartum hemorrhage is also the main cause of maternal death worldwide. (3) Postpartum hemorrhage is defined as the condition of blood loss of more than 500 mL from the female genital tract after vaginal delivery of the fetus (or >1000 mL after cesarean section) accompanied by impaired body hemostasis and hypovolemic conditions. (4) Uterine atony is the main cause of postpartum hemorrhage, clinically effective prevention and treatment are important to decrease maternal mortality and improve health care for women.…”

Section: Introductionmentioning

confidence: 99%

Carbetocin: The New Preferred Treatment For Partum Hemorrhage

Martilova¹,

Ushbah

Perdana

2022

ijmsci

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Background: Postpartum hemorrhage defined as the condition blood loss more than 500 mL from the female genital tract after vaginal delivery of the fetus (or >1000 mL after cesarean section). Case Presentation: Mrs. FA 31 year’s old G2P1A0 40 weeks age gestation preeclampsia with main complaints dyspnea and swollen legs. Physical examination showed decreased saturation, increase blood pressure, rhonci, and pitting edema of the pedal. Cardiomegaly with pulmonary edema on x-ray, elevated liver enzymes, LEA value +3, perfectly compensated respiratory alkalosis and electrolyte imbalance on laboratory test. Four-hour post C-section she got postpartum hemorrhagic and given oxytocin due to maximizing use of uterotonic agent, MgSO4 stopped and patient reported with postpartum eclampsia. Conclusion: Many studies discus other drugs to replace oxytocin, considering side effects to prevent postpartum hemorrhage. Carbetocin could be one potent agent of uterotonic agents with lower side effect.

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Identification, prevention and management of post-partum haemorrhage

Cited by 5 publications

References 1 publication

The effectiveness of using uterine tampons in treating uterine atony

The effectiveness of using uterine tampons in treating uterine atony

Comparison of Complication and Post-Operative Infection Rate Between Application of Carbetocin and Oxytocin during Management of Post-Partum Hemorrhage after Caesarean Section

Carbetocin: The New Preferred Treatment For Partum Hemorrhage

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