A local hemostatic agent for the management of postpartum hemorrhage due to placenta previa and placenta accreta: a cross-sectional study

Portilla, Diego Fernando Alegría; Hernández-Giraldo, Cristian; Moreno, B Delia; Quijano, F.; Hoyos, Luis R.; Angarita, Ana M.; Madero, Santiago

doi:10.1007/s00404-013-2812-1

Cited by 11 publications

(13 citation statements)

References 18 publications

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“…Application of local hemostatic agent, hemostatic fleece, hemostatic gel directly on the bleeding surfaces of the lower uterine segment has been used to achieve hemostasis during cesarean section produced by placenta previa, it provides rapid and active hemostasis in the lower segment, where surgical interference may be problematic, although quick and effective are not suitable in various cases especially placenta previa accreta and these agents are not permanently obtainable in developing countries. 20,21 Most of the compression sutures such as B-Lynch, Hayman and Cho square designed for atonic PPH and cannot prevent hemorrhage within the lower uterine segment all the time. However, several specific stitches were established to stop bleeding in this challenging anatomical area, such as Transverse annular compression sutures, antero posterior compressive suture of the lower uterine segment, multiple 8 sutures are informed to be effective in controlling severe PPH from the lower uterine segment with a varying degree of success.…”

Section: Discussionmentioning

confidence: 99%

Fahmy's four quadrant sutures: a new technique for control of blood loss during cesarean delivery for placenta previa

Fahmy¹,

Ezzat²,

Khalil³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background:The objective of this study is to assess the efficacy and safety of Fahmy's four quadrant suture technique (FFQS) in controlling blood loss during cesarean delivery for placenta previa (PP). Methods:The study was carried out in a tertiary University Hospital between January 2017 to December 2017 involved 12 women with heavy bleeding occurred after removal of the placenta from the lower section during cesarean delivery for PP. The FFQS technique consisted of two sutures to ligate the uterine branches on both sides and two sutures on the anterior and posterior wall of the lower uterine segment. Details regarding the management and maternal outcomes were recorded. Results: The mean age of the study participants was 29.58±5.29 years and the mean parity was 2.25±1.14. The mean gestational age at termination of pregnancy was 36.91±1.38 weeks. The mean duration of the whole surgery was 78.75±43.28 minutes, while the mean duration of FFQS technique was only 10±2.09 minutes. The technique was exclusively effective in 8 out of 12 cases (66.67%) while 2 cases needed bilateral internal iliac artery ligation and 2 cases needed hysterectomy. The mean amount of blood loss in all cases was 2433.33±833.76 ml. the mean amount of transfused packed RBCs was 3.92±1.68 units and fresh frozen plasma (FFP) was 3.42±1.44 units. All cases had uneventful postoperative course and no mortality cases in present series. Conclusions: The new technique; FFQS represents a rapid, effective, and inexpensive opportunity for women with bleeding from the lower segment of uterus due to PP. This simple procedure should be attempted before other complex measures to achieve good hemostasis.

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Section: Discussionmentioning

confidence: 99%

Fahmy's four quadrant sutures: a new technique for control of blood loss during cesarean delivery for placenta previa

Fahmy¹,

Ezzat²,

Khalil³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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“…Setiap tahun diperkirakan terdapat 140.000 kematian ibu akibat PPH atau setiap 4 menit terjadi 1 kematian di seluruh dunia akibat PPH. 12,13 Perdarahan postpartum dapat diprediksi kejadiannya karena banyak faktor risiko yang dapat diidentifikasi, walaupun kadang-kadang terjadi secara tiba-tiba dan tidak diharapkan. Identifikasi terhadap faktor risiko tinggi pada ibu hamil sangat penting dalam upaya pencegahan PPH dan merencanakan tempat persalinan.…”

Section: Pendahuluanunclassified

Beberapa Faktor Kejadian Perdarahan Postpartum Ibu Bersalin yang Dirawat Di Rumah Sakit

Yuliati¹,

Soejoenoes

Suwondo

et al. 2018

Comm. Health. Epid. J

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Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality in both developed and developing countries. To prevent postpartum hemorrhage, knowledge of the risk factors were needed.Method: Methos of the research is a case control study. Study population were hospitalized mothers who delivered in three hospitals on January 2015 – July 2016. The subjects were 55 patients who suffered from PPH (as cases) and 55 patients who were not suffered from PPH (as control). Sampling method for cases was consecutive sampling and purposive for controls. Data were analysed by Odds Ratio calculation and logistic regression.Results: The risks factor significantly for PPH are midwife as birth attendant (OR=7.10; 95% CI 2.2 –22.81; p=0.001), poor of obstetric history (OR=5.37; 95%CI 1.53–18.86; p=0.009), pregnancy interval (< 2 years or > 5 years) (OR =4.04; 95%CI 1.48 –11.07; p= 0,007), anaemia trimester III (OR =3,58; 95%CI 1.23-10.43; p=0.019), history of abortion (OR=4.93; 95% CI 1.20-20.31; p=0,027).Conclusion: The risk factors for PPH were midwife as birth attendant, poor of obstetric history, pregnancy interval (<2 years and >5 years), anaemia trimester III, and history of abortion.

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“…This same group reported successful hemostasis with laparoscopic placement for uterine perforation during termination of pregnancy [51] and tubal sterilization [52]. In a cross-sectional study of 41 pregnant women who developed post-partum hemorrhage following cesarean section 2006-12 at a single institution, the rate of hysterectomy was 5% versus 66% in women who did and did not have application of 2-3 Fibrillar™ (Ethicon) gauzes to the lower uterine segment [53]. Rates of transfusion, admission to the intensive care unit, and length of hospitalization were also reduced (p<0.001).…”

Section: Comparison To Other Topical Hemostatic Agentsmentioning

confidence: 99%

Use of Monsel solution to treat obstetrical hemorrhage: a review and comparison to other topical hemostatic agents

Miller

Roque

Santin

2015

American Journal of Obstetrics and Gynecology

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Peripartum hemorrhage accounts for 8% of maternal deaths in the United States, and nearly 27% worldwide. A growing need exists for tactics to spare morbidity given a rise of abnormal placentation that contributes to excessive blood loss at the time of delivery. Approaches such as compression sutures, balloon tamponade, and pelvic artery embolization are not without side effects and potential implications for future fertility. The use of topical hemostatic agents has become widespread in gynecologic and obstetric surgery despite a paucity of distinct studies in the field, and may allow providers to increasingly avoid cesarean hysterectomy. A variety of topical hemostatic agents exist along a wide cost continuum, each characterized by specific efficacy, advantages, drawbacks, and often gaps in long-term data to support safety and impact on future fertility. Herein, we comprehensively review these agents and illustrate a non-traditional use of Monsel’s solution applied directly to the placental bed in a case of focal placenta accreta. This ultimately contributed to successful uterine preservation with no known adverse sequelae. Monsel’s solution may have a role in establishing hemostasis in the setting of abnormal placentation, and may be a particularly attractive alternative in resource-poor nations.

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A local hemostatic agent for the management of postpartum hemorrhage due to placenta previa and placenta accreta: a cross-sectional study

Cited by 11 publications

References 18 publications

Fahmy's four quadrant sutures: a new technique for control of blood loss during cesarean delivery for placenta previa

Fahmy's four quadrant sutures: a new technique for control of blood loss during cesarean delivery for placenta previa

Beberapa Faktor Kejadian Perdarahan Postpartum Ibu Bersalin yang Dirawat Di Rumah Sakit

Use of Monsel solution to treat obstetrical hemorrhage: a review and comparison to other topical hemostatic agents

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