Key result
Vaginal uterine artery ligature is proposed as an alternative to hysterectomy for immediate postpartum hemorrhage.
Why the study?
Does vaginal ligature of uterine arteries reduce bleeding in patients with immediate postpartum hemorrhage due to uterine inertia compared to hysterectomy?
Does vaginal ligature of uterine arteries reduce bleeding in patients with immediate postpartum hemorrhage due to uterine inertia compared to hysterectomy?
Answers are grounded in this paper and cite their sources.
Vaginal ligature of uterine arteries is proposed as a delivery room alternative to hysterectomy for managing severe postpartum hemorrhage.
Immediate postpartum hemorrhage due to uterine inertia is usually treated by injection of oxytocics. In some situations, bleeding continues and distends the uterine cavity, in turn disturbing the hemostasis that accompanies uterine retraction. Uterine bleeding must be rapidly reduced while the coagulation defect is corrected. The authors propose the vaginal ligature of uterine arteries, which can be performed in the delivery room, as an alternative to hysterectomy.
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d'Oreye et al. (1997) studied Immediate postpartum hemorrhage due to uterine inertia. Vaginal ligature of uterine arteries vs. Hysterectomy was evaluated. The authors propose vaginal ligature of uterine arteries, performed in the delivery room, as an alternative to hysterectomy for immediate postpartum hemorrhage due to uterine inertia.
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