Use of Vaginal Packing in the Management of Lower Uterine Segment Atony

Ihsan Baglı, Selami Erdem
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Abstract

OBJECTIVES: We aimed to evaluate the effect of vaginal packing in the management of lower uterine segment atony that it is a distinct cause of primary postpartum hemorrhage. We also set out to determine the incidence of lower uterine segment atony. STUDY DESIGN: This is a retrospective study involving 967 births out of 25 000 deliveries in one institution in the year 2018. Of 967 births were managed by the corresponding author of this study. Of 14 lower uterine segment atony patients were occurred during the study period among 967 deliveries. All patients with lower uterine segment atony were treated by vaginal packing. RESULTS: The occurrence of postpartum hemorrhage among the study population was 57/967 (5.9%). We found the incidence of lower uterine segment atony to be 1.4% (14/967). Vaginal packing as a first attempt was found to be successful for controlling hemorrhage in 13/14 (92.8%) patients with lower uterine segment atony. It was found to occur in the repeated cesarean group more than other groups, but this difference was not statistically significant (p=0.157). Any complications were occurred related to packing. CONCLUSION: Vaginal packing was found to be simple, safe, and feasible in terms of achieving hemostasis in cases of postpartum hemorrhage due to lower uterine segment atony. Vaginal packing is a potential method for preserving the uterus before further surgical application.
阴道填充物在子宫下段张力治疗中的应用
目的:我们的目的是评估阴道填塞在处理子宫下段张力的效果,这是一个明显的原因,原发性产后出血。我们也着手确定下子宫段张力的发生率。研究设计:这是一项回顾性研究,涉及2018年一家机构25,000例分娩中的967例分娩。967例分娩由本研究的通讯作者管理。在967例分娩中,14例发生子宫下段张力。所有下子宫段张力均采用阴道填塞治疗。结果:研究人群产后出血发生率为57/967(5.9%)。我们发现子宫下段张力的发生率为1.4%(14/967)。13/14(92.8%)的下子宫段张力不全患者首次尝试阴道填塞可有效控制出血。重复剖宫产组发生率高于其他组,但差异无统计学意义(p=0.157)。任何并发症的发生都与包装有关。结论:阴道填塞是一种简便、安全、可行的止血方法,可用于子宫下段张力性产后出血。阴道填塞是一种在进一步手术应用前保存子宫的潜在方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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