| Uterine compression sutures for the management of severe postpartum hemorrhage. | |
| | |
MedLine Citation:
|
PMID: 21213474 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
OBJECTIVE: To assess maternal outcomes after uterine compression suture use and to characterize the risk factors for failure, defined as cases that proceeded to hysterectomy. METHODS: A prospective population-based study of 1.2 million women delivering was conducted using the U.K. Obstetric Surveillance System to identify all women in the United Kingdom delivering between September 2007 and March 2009 and treated with uterine compression sutures. RESULTS: Two hundred eleven women were treated with a uterine compression suture to control postpartum hemorrhage. The overall rate of failure, leading to hysterectomy, was 25% (95% confidence interval, 19–31%); there were no significant differences in failure rates among B-Lynch sutures, modified B-Lynch sutures, and other suture techniques. Women were more likely to have a hysterectomy if they were aged 35 years or older (33% compared with 20% aged younger than 35 years), multiparous (33% compared with 14% in nulliparous), in unemployed and routine or manual occupational groups (28% compared with 17% in managerial or professional groups), had a vaginal delivery (47% compared with 22% in the cesarean delivery group), or a delay of between 2 and 6 hours from delivery to uterine suture compression (42% compared with 16% with delay less than 1 hour). CONCLUSION: A prolonged delay of 2–6 hours between delivery and uterine compression suture was independently associated with a fourfold increase in the odds of hysterectomy. These data emphasize the need for a careful evaluation of blood loss after delivery to avoid any prolonged delay in recognition of hemorrhage. Level of Evidence: III |
| | |
Authors:
|
Gilles Kayem; Jennifer J Kurinczuk; Zarko Alfirevic; Patsy Spark; Peter Brocklehurst; Marian Knight; |
Related Documents
:
|
20098994 - Uterine fibroids: risk of recurrence after myomectomy in a nigerian population. 19882064 - Manchester repair. an alternative to hysterectomy. 23661854 - Where, when and what type of alcohol do pregnant women drink? 21525124 - Discrepancy between coronary artery calcium score and heartscore in middle-aged danes: ... 22990214 - Time to first cigarette and serum cotinine levels in adolescent smokers: national healt... 17726354 - Types of anemia and mortality among older disabled women living in the community: the w... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Obstetrics and gynecology Volume: 117 ISSN: 1873-233X ISO Abbreviation: Obstet Gynecol Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2011-01-06 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
|
Languages: eng Pagination: 14-20 Citation Subset: AIM; IM |
Affiliation:
|
National Perinatal Epidemiology Unit, University of Oxford, Oxford, United Kingdom. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
| Grant Support | |
ID/Acronym/Agency:
|
//Department of Health |
| Comments/Corrections | |
Comment In:
|
Obstet Gynecol. 2011 Jan;117(1):3-5
[PMID:
21173639
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Childhood injuries in Ilesa, South-Western Nigeria: causes, pattern, and outcome.
Next Document: Effectiveness of oral contraceptive pills in a large U.S. cohort comparing progestogen and regimen.