| Operative interventions in the management of major postpartum haemorrhage. | |
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MedLine Citation:
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PMID: 22185528 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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In many recent studies in the developed world, the incidence of postpartum haemorrhage (PPH) has been rising, though the mortality has come down, suggesting improvement in the management of this condition. Since the publication of the RCOG guidelines in 2009 for management of PPH and the Sheffield guidelines for the use of Rusch balloon along with the initial small case series (Keriakos and Mukhopadhyay 2006), many units have introduced the guidelines into clinical practice. This has led to the reduction of surgical intervention in our unit. Major PPH accounted for 1.6% of the total deliveries in our hospital. Surgical interventions accounted for 7.8% of these cases and only 0.1% of the total deliveries. Risk factors for PPH were identified in 83%. In this paper, we reviewed the management of all patients who had major PPH and failed medical management over a period of about 4 years. All surgical interventions including Rusch balloon, B-Lynch suture, radiological interventions and hysterectomy were described. An update to Rusch balloon guidelines and Sheffield guidelines for management of major PPH are appended. |
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Authors:
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R Keriakos; S Chaudhuri |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Volume: 32 ISSN: 1364-6893 ISO Abbreviation: J Obstet Gynaecol Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2011-12-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309140 Medline TA: J Obstet Gynaecol Country: England |
Other Details:
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Languages: eng Pagination: 14-25 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, Sheffield Teaching Hospitals NHS Trust , Sheffield , UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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