Alexandria University ; , Department of Obstetrics and Gynaecology ;
AJM-Alexandria Journal of MedicineJournal Country: Egypt ISSN: 1110-0834 Type of Publication: Journal Article Country of Research: Egypt WHO Eastern Mediterranean Region Type of Research: Clinical Keywords: Humans, Female, Pregnancy Complications ,Uterine Hemorrhage ,Treatment Outcome
In the current obstetric practice, cases of placenta praevia suffering from hemorrhage at term pregnancy or with fetalmaturity, elective lower segment caesarean section is the best treatment.
Cases of placenta praevia early in labor with moderate or sever bleeding should be treated by immediate were segment caesarean section. The separation of the praevia placenta may be followed by sever hemorrhage from the open sinuses of the loweruterine segment The treatment followed by us in the last 18 of such cases was firm compression of these sinuses bywarm saline soaked towel for sometime till the ooze stops with clotting of the sinuses. If that measure failed, which itdid in 14 of these cases of sever hemorrhage tight packing of the uterus, particularly the lower uterine segment, theredundant reformed cervix, vaginal fornices and canal, with counter pressure against a vagino- perineal pad. Thatprocedure succeeded in 13 out of these 14 cases, the remaining case was operated upon by subtotal abdominalhysterectomy
Hossam I. Azab ,
Packing of the lower uterine segment, following the seperation of theplacenta praevia due to uncontrollled haemorrhage from the opensinuses of the lower uterine segment,
Bull. Alex. Fac. Med. 2006;
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