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THE RATE OF SUCCESS IN UTEROVAGINAL PACKING IN ATONIC UTERUS IN A TERTIARY CARE HOSPITAL IN LOW RESOURCE SETTING
Author(s):
1. Samina Aliya Sabir: Department of Gynaecology and Obstetrics, Lady Reading Hospital,Peshawar,Pakistan
2. Shahida Sultan: Department of Gynaecology and Obstetrics, Lady Reading Hospital,Peshawar,Pakistan
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 cross-sectional study conducted in Gynaecology and Obstetrics 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 Caesarian section were excluded from the study. The study was approved by the ethical committee of hospital. Results: In our study 250 patients with Atonic Uterus were subjected to uterovaginal packing after medical treatment failed in these patients. 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 in 18 (7.2%) cases, subtotal hysterectomies in 13 (5.2%) cases and internal Iliac ligation in 3 cases (1.2%) Conclusion: Uterovaginal packing is an effective, easy, quick and lifesaving method in the control of PPH in low resource settings.
Page(s): 96-98
DOI: DOI not available
Published: Journal: Journal of Medical Science, Volume: 29, Issue: 3, Year: 2021
Keywords:
Retained products of conceptionRPOCs , Internal Iliac Ligation , Primary postpartum hemorrhage
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