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Subsequent pregnancy outcome after uterine compression suture placement for postpartum hemorrhage

医学 产科 回顾性队列研究 外科 子宫切除术 失血 子宫 怀孕 妇科 纤维接头 内科学 遗传学 生物
作者
Murali Subbaiah,Latha Chaturvedula,Nichanahalli Siddappa Kubera,Ashwini Raj
出处
期刊:International journal of gynaecology and obstetrics [Wiley]
卷期号:156 (3): 475-480 被引量:11
标识
DOI:10.1002/ijgo.13710
摘要

To evaluate the subsequent obstetrical outcome in women who received a uterine compression suture.This is a retrospective cohort study of women who received a uterine compression suture for postpartum hemorrhage (PPH) between January 2009 and December 2018 and had a subsequent pregnancy at a tertiary care hospital in India. Women who had PPH but did not receive uterine compression sutures and had a subsequent pregnancy were taken as controls.Sixty-two women had a subsequent pregnancy after uterine compression suture and were included in this study. There were no significant differences in the subsequent pregnancy outcome between the study and control groups. However, women with a history of uterine compression suture were found to have a higher incidence of dense omental adhesions (15% versus 2.8%; P < 0.001), more intrapartum blood loss (740.5 ± 491.8 ml versus 638.8 ± 194 ml; P = 0.02), and were more likely to need repeat uterine compression suture (6.7% versus 0%; P = 0.004).Women who received uterine compression sutures had similar obstetrical outcomes in their subsequent pregnancy compared with those who did not receive a suture for PPH management. However, they had a higher risk of dense omental adhesions, repeat uterine compression suture application, and intrapartum blood loss.
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