Both TBA and LNG-IUS achieved significant decreases in PBAC scores, with those for the LNG-IUS being significantly greater at 12 months. However, prolonged days of bleeding resulted in fewer women continuing with the LNG-IUS at two years.
This review summarizes the options available for the management of postpartum haemorrhage when ecbolic agents have failed to control the bleeding and an obvious rectifiable problem such as retained placental fragments, lower genital tract trauma, uterine inversion or uterine rupture have been excluded or dealt with. The review covers the range of surgical options but gives an in-depth explanation of the more recent developments such as uterine brace sutures, the use of the Sengstaken-Blakemore tube and embolization procedures.
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