UTERINE COMPRESSION SUTURES: A METHOD OF SURGICAL HAEMOSTASIS DURING CAESAREAN DELIVERY (HYSTEROSCOPIC ASSESSMENT)
2017
Maria Petrovna Evseeva | Aleksandr Nikolaevich Ivanyan | Larisa Simonovna Kirakosyan
Background: to assess the efficiency of uterine compression sutures in treatment of severe postpartum hemorrhage.Materials and methods: 55 patients who had been performed cesarean section from 2013 to 2015 were examined. The basic group included 25 patients with uterine compression sutures that had been performed to stop severe postpartum hemorrhage, the control group – 30 patients without severe postpartum hemorrhage. The main outcome measures were the ability to stop hemorrhage, complications of postpartum period and the assessment of the uterine cavity by hysteroscopy.Results: uterine compression sutures stopped postpartum hemorrhage in 19 of 25 cases (76%). None of the women developed postpartum period complications related to the procedure. Ten women underwent hysteroscopy after uterine compression sutures. Two women (20%) had ligature in the uterine cavity.Conclusion: Our results suggest that uterine compression sutures is an effective and safe treatment for postpartum haemorrhage.
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