2015
DOI: 10.1186/s12884-015-0731-9
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The cervix as a natural tamponade in postpartum hemorrhage caused by placenta previa and placenta previa accreta: a prospective study

Abstract: BackgroundPlacenta previa and placenta accreta carry significant maternal and fetal morbidity and mortality. Several techniques have been described in the literature for controlling massive bleeding associated with placenta previa cesarean sections. The objective of this study was to evaluate the efficacy and safety of the use of the cervix as a natural tamponade in controlling postpartum hemorrhage caused by placenta previa and placenta previa accreta.MethodsThis prospective study was conducted on 40 pregnant… Show more

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Cited by 32 publications
(24 citation statements)
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“…In case reports and small series, numerous strategies to decrease postpartum hemorrhage associated with previa have been reported. Interventions described include compression sutures [14, 15], Foley catheter placement [16], postpartum hemorrhage specific intrauterine balloon [17], hemostatic gel [18], local injection of vasopressin [12], temporary internal iliac artery balloon occlusion [19], and even suturing the cervix to the placental bed [20]. However, no randomized-controlled trials have been conducted.…”
Section: Discussionmentioning
confidence: 99%
“…In case reports and small series, numerous strategies to decrease postpartum hemorrhage associated with previa have been reported. Interventions described include compression sutures [14, 15], Foley catheter placement [16], postpartum hemorrhage specific intrauterine balloon [17], hemostatic gel [18], local injection of vasopressin [12], temporary internal iliac artery balloon occlusion [19], and even suturing the cervix to the placental bed [20]. However, no randomized-controlled trials have been conducted.…”
Section: Discussionmentioning
confidence: 99%
“…183 Small case series have also reported on the successful use of compression sutures and on using the cervix as a natural tamponade by inverting it into the uterine cavity, and suturing the anterior and/or the posterior cervical lips into the anterior and/or posterior walls of the lower uterine segment. [184][185][186][187] Evidence level 3…”
Section: Evidence Level 2++mentioning
confidence: 99%
“…Small case series have also reported the successful use of compression sutures, using the cervix as a natural tamponade by inverting it into the uterine cavity and suturing the anterior and/or the posterior cervical lips into the anterior and/or posterior walls of the lower uterine segment . The latter technique of cervical inversion was successful in stopping bleeding in 38 out of 40 patients.…”
Section: Alternative Conservative Surgical Proceduresmentioning
confidence: 99%