Uterovaginal Packing as Treatment in Primary Postpartum Hemorrhage in Patan Hospital

Pradhan, Binita; Rc, Laxmi; Sharma, Paban; Singh, Alka

doi:10.3126/njog.v11i1.16282

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…Similar findings were also found in many previous studies. [33][34][35][36][37] In other study, impact of mode of delivery, parity and underlying cause of PPH on the outcome was statistically not significant with p-values of 0.461, 0.128 & 0.165 . 38 Similar statistical non-significance has been stated in the study by Fatima N, et al in 2008 39 for the above mentioned variables, with pvalue of 0.91, 0.49 and 0.91 respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, it also helps in stabilizing the mother till theatre is arranged , though it might preclude any intended surgical procedure at all . 9,10 In modern obstetrics , intrauterine balloon tamponade (IUBT ) in management of postpartum hemorrhage, is an innovative technique. A Foley's cathter is introduced into the cavity of uterus and inflated with normal saline to produce direct compression .…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Safety and Efficacy of Intrauterine Foley’s Catheter Balloon and Uterovaginal Packing in Patients with Excessive Vaginal Bleeding after Vaginal Delivery

Khalid¹,

Khan²,

Kousar³

et al. 2022

PJMHS

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Objectives: To compare the safety and efficacy of uterovaginal packing and Foley’s catheter balloon tamponade in patients with excessive vaginal bleeding following vaginal delivery. Design : RCT ( Randomized Controlled Trial). Setting : Obstetrics & Gynaecology Deptt. , HFH ( holy family hospital) , RWP. Duration: Six Months. Materials & Methodology: 94 females who presented with excessive vaginal bleeding ( > 500 ml) following vaginal delivery, 18 to 40 years of age , gestational age (GA) ≥37 weeks were included. Patients with retained products of conception, PPH due to perineal, cervical or vaginal tear and coagulation disorders were excluded. The patients were distributed equally into 2 groups ; a and b based on the lottery method. Group a was managed with uterine packing and Group b was managed by the Foley’s catheter balloon tamponade. Efficacy and safety in both groups was measured. Results: In my study, efficacy was significantly high in uterine packing group (Group a) compared to Foley’s catheter balloon tamponade (group b) (89.36% versus 68.09%; respectively) with p-value of 0.012. In my study, safety was significantly high in uterovaginal packing group (Group a) compared to Foley’s catheter balloon tamponade (group b) (72.34% versus 31.91%; respectively) with p-value of 0.0001. Conclusion: Uterovaginal packing is more secure, prompt and efficient procedure to manage excessive hemorrhage after delivery compared to Foley’s catheter balloon tamponade. Keywords: Hemorrhage, uterovaginal packing ,foley’s balloon tamponade.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Safety and Efficacy of Intrauterine Foley’s Catheter Balloon and Uterovaginal Packing in Patients with Excessive Vaginal Bleeding after Vaginal Delivery

Khalid¹,

Khan²,

Kousar³

et al. 2022

PJMHS

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“…in patients unresponsive to uterotonics. Uterovaginal packing by causing mechanical compression of uterine vascular sinuses is a quick, effective and cheap method of securing haemostasis in a large number of cases 12,13 . So, if medical management fails, uterine packing is a simple and effective method which can avoid other complicated surgical procedures and help save life of mothers 14 .…”

Section: Introductionmentioning

confidence: 99%

Pivotal Role of Management of Postpartum Haemorrhage by Using Intrauterine Pack during Caesarean Section

Afroz¹,

Arzoo²,

Akter³

et al. 2023

Eastern Med. Coll. J.

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Background: Postpartum Haemorrhage (PPH) is a potentially life-threatening complication after delivery by both vaginal and caesarean section (CS). Different types of management options have been available in clinical settings including the use of oxytocin, prostaglandin analogues, ergometrine, surgical exploration of genital tract, ligation or angiographic embolization of uterine or internal iliac arteries and hysterectomy. Another simple and effective measure to manage PPH is to control the bleeding with intrauterine packing by mop during CS. This intrauterine packing during CS is very easy & quick method to perform and it has pivotal role to save the patient need of major surgical procedures. Objective: To determine effectiveness of uterine packing by mop in control of post-partum hemorrhage, its safety and complications associated with it. Materials and Methods: This study was carried out in Obstetrics & Gynaecology department of Eastern Medical College & Hospital, Cumilla, Bangladesh from January 2020 to July 2020. It was a prospective interventional study. the patients presenting with postpartum haemorhage during CS due to atonic uterus. Patients who had PPH due to genital tract trauma were excluded from this study. Frequencies and proportions of complications were calculated along with rate of successful cessation of bleeding by the use of intrauterine mop. Data was analyzed by SPSS. Results: 100 patients included in the study. Among them 63% were 25-34 years, 26% were 15-24 years, 11% were 35-45 years. 73% patients were p >3 and 27% were p 1-3. 77% patients belong to poor class family, 18% belong to middle class and 5% belong to high class family. These patients went through LUCS and had atonic uterus. Mop was used in those patients and successes rate were 87%. In 13% cases we needed others management. These were 11% case uterotonic drugs, 1% B-Lynch suture, 1% internal iliac artery ligation but none out of 100 patients underwent hysterectomy. Conclusion: Uterine packing by mop effectively controls PPH with fewer complications and its role in emergency obstetric scan not be denied. EMCJ. July 2022; 7(2): 1-5

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“…16 This modality is useful in controlling hemorrhage from uterine atony, coagulopathy, placental implantation site bleeding caused by placenta previa or Placenta acreta. The reported efficacy of uterovaginal packing in the treatment of postpartum hemorrhage is 90.9% 17 , 98.6% 18 , 85% 19 and 84.7% 20 in various research studies. The goal of treatment with uterovaginal packing for all causes of postpartum hemorrhage is cessation of bleeding in a timely fashion before the onset of consumptive coagulopathy and signs of end organ failure.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Uterovaginal Packing in Control of Primary Postpartum Hemorrhage

2022

JPMI

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Objective: To determine effectiveness of uterovaginal packing in control of primary postpartum hemorrhage.Methodology: It was a prospective interventional study conducted at department of Obstetrics and Gynecology from Nov 2019 to May 2021. Sample size was calculated by WHO sample size calculator with 95% confidence interval and 5% Margin of error of estimation 16. Consecutive non probability sampling technique was utilized and 85 cases with postpartum hemorrhage were enrolled who were admitted through emergency and outpatient department. All women of reproductive age, any gravidity or parity presenting with postpartum hemorrhage due to uterine atony, coagulopathy or placental implantation site bleeding after vaginal or abdominal delivery were included. Cases with Genital tract injuries requiring repair, retained placental tissue or membranes requiring Evacuation & Curettage, uterine rupture requiring Laparotomy and secondary postpartum hemorrhage were excluded. All information was recorded in a pre-designed proforma and data was analyzed using SPSS version 20. Results:Our study included 85 women with 62.35% normal vaginal deliveries and 37.65% with cesarean section, uterine atony found to be the top most cause of postpartum hemorrhage (47.1%). Success rate of uterovaginal packing remained high i.e 95.3% Conclusion:Our study concludes that Uterovaginal packing was 95.3% effective in the controls of postpartum hemorrhage. It is a quick and effective recovery to control postpartum hemorrhage conservatively.

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Uterovaginal Packing as Treatment in Primary Postpartum Hemorrhage in Patan Hospital

Cited by 3 publications

References 8 publications

Comparison of Safety and Efficacy of Intrauterine Foley’s Catheter Balloon and Uterovaginal Packing in Patients with Excessive Vaginal Bleeding after Vaginal Delivery

Comparison of Safety and Efficacy of Intrauterine Foley’s Catheter Balloon and Uterovaginal Packing in Patients with Excessive Vaginal Bleeding after Vaginal Delivery

Pivotal Role of Management of Postpartum Haemorrhage by Using Intrauterine Pack during Caesarean Section

Effectiveness of Uterovaginal Packing in Control of Primary Postpartum Hemorrhage

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