Uterovaginal Packing in the Management of primary Post Partum Hemorrhage in Tertiary Care Hospital: A five year Clinical study
Objectives: To determine the effectiveness of uterovaginal packing in the management of primary postpartum hemorrhage after vaginal delivery and during cesarean section.
Study design: a Retrospective analytical study
Place and duration of study: Department of Obstetrics and Gynecology Unit-4, Bolan Medical Complex Hospital, Quetta, from 1st January 2013 to 31st December 2017
Methodology: This retrospective analytical study included the review of clinical records of all patients who delivered either vaginally or via caesarean section and developed primary postpartum hemorrhage and were managed by uterovaginal packing with sterilized roll guaze.
Results: During the study period, 34,368 deliveries were conducted. Total 147 uterine packing done for control of postpartum hemorrhage which failed medical treatment. 49 (33.3%) uterine packing were done after vaginal delivery in which main indication of packing was uterine atony, seen in 34(69.3%) cases, while 98 (66.6%) packing were done at the time of cesarean section where the main indication was morbidly adherent placenta, found in 57(58.1%) cases. In 88% cases only uterine packing was effective while in others uterine artery or internal illiac ligation was also done. The success rate of uterine packing was 98.6%.
Conclusion: Uterine packing is an effective, easy, quick and lifesaving method in the control of postpartum hemorrhage, both at vaginal delivery and during cesarean section.
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