Uterovaginal Packing With Rolled Gauze in Post-Partum Haemorrhage, a Retrospective Study in Malda Medical College, West Bengal

Sarkar, M. Z. I.; Mandal, Jaydeb; Roy, Dibyendu

doi:10.14260/jemds/2019/474

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…The efficacy of uterine packing depends upon its proper application and its employment early in the course of postpartum haemorrhage. Success rates reported in other studies were comparable to our study, 89.14% by Khairunnisa Nizam, 91.8 % by Malay et al and 90.09% by Javed et al 23,24,25 . Rashmi Bagga et al, reported two cases of, a primary and a secondary PPH, successfully managed with uterovaginal packing 26 .…”

Section: Resultssupporting

confidence: 90%

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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Section: Resultssupporting

confidence: 90%

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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“…As far as efficacy is concerned it was noted to be effective in 88.8% of women. Success rate reported in other studies were comparable to our study 89.14% by Nizam et al 25 , 91.8% by Malay et al 26 and 90.09% by Javed et al 17 Bagga et al 27 reported 88.9% efficacy with Uterovaginal packing. In a study conducted by Dabelea et al 28 , postpartum hemorrhage was arrested in 90% of women with Uterovaginal packing and the result of our study stands consistent with the findings of this study in terms of efficacy.…”

Section: Resultssupporting

confidence: 89%

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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“…In other cases, patient is stabilized while preparing for surgery and sometimes surgery is not needed as the bleeding gets stopped with this conservative procedure. 7,8 We conducted this study to see the success of this procedure in low resource settings having a high rate of PPH. No studies have been conducted on this procedure in the recent years despite the fact that it is being frequently used to control PPH in tertiary care hospitals.…”

Section: Introduction Introductionmentioning

confidence: 99%

The Rate of Success in Uterovaginal Packing in Atonic Uterus in a Tertiary Care Hospital in Low Resource Setting

Sabir¹,

Sultan²

2021

JMS

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Abstract:Objective: To find out the success rate of uterovaginal packing of Atonic Uterus in a tertiary care hospital, in low resource setting.Methods: This was a interventional prospective trial conducted in Gynae department of Lady Reading Hospital from January 2019 to December 2019. Our study included those patients with PPH not responding to medical treatment in vaginal delivery. Patients in shock with PPH and PPH after Csection were excluded from the study. The study was approved by the ethical committee of hospital.Results: In our study 250 patients with Atonic Uterus with PPH with failed medical treatment were done uterovaginal packing, the success rate after 12 hours was 86.4%, in rest of the patients PPH was controlled by second line surgical intervention in 34 cases (13.6%), B Lynch was done in 18 (7.2%) cases, subtotal hysterectomies 13 (5.2%) cases and internal Iliac ligation in 3 cases (1.2%)Conclusion: Uterovaginal packing is an effective, easy, quick and life saving method in the control of PPH in low resource setting.

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Uterovaginal Packing With Rolled Gauze in Post-Partum Haemorrhage, a Retrospective Study in Malda Medical College, West Bengal

Cited by 3 publications

References 9 publications

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

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

Effectiveness of Uterovaginal Packing in Control of Primary Postpartum Hemorrhage

The Rate of Success in Uterovaginal Packing in Atonic Uterus in a Tertiary Care Hospital in Low Resource Setting

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