Title |
RETRACTED ARTICLE: Is early intervention using Mansoura-VV uterine compression sutures an effective procedure in the management of primary atonic postpartum hemorrhage? : a prospective study
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Published in |
BMC Pregnancy and Childbirth, May 2017
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DOI | 10.1186/s12884-017-1349-x |
Pubmed ID | |
Authors |
Abd Elaziz A. El Refaeey, Hosam Abdelfattah, Alaa Mosbah, Anas M. Gamal, Emad Fayla, Waleed Refaie, Abdelhady Zaied, Rafik I. Barakat, Amal K. Seleem, Mohammed Maher |
Abstract |
Postpartum hemorrhage is the leading cause of maternal death, uterine atony accounts for 75-90% of primary postpartum hemorrhage. The efficacy of the Uterine compression suture in the treatment of atonic postpartum hemorrhage is time-tested and can be said to be almost established.The aim of this study was to assess the role of the Mansoura-VV uterine compression suture as an early intervention in the management of primary atonic postpartum hemorrhage. This prospective observational study included 108 women with primary atonic PPH over a period of 44 months. Uterine atony was diagnosed when the uterus was soft and failed to respond to ordinary ecbolics. Early intervention by Mansoura-VV uterine compression sutures was carried out within 15 min of the second dose of ecobolics and before progressing to any further surgical procedure. Following the Mansoura-VV uterine compression sutures, uterine bleeding was controlled in all except one patient (107/108 cases; 99.07%) who required additional bilateral uterine vessels ligation. Another case (0.93%) was subjected to re-laparotomy due to intraperitoneal hemorrhage. Packed RBC transfusion was needed in 10 cases (9.25%). Admission to ICU was needed in 9 cases (8.33%) because of associated medical conditions. One week following the procedure, 1 case (0.93%) was diagnosed with haematometra. Early intervention in cases of primary atonic PPH using the Mansoura-VV uterine compression sutures is an easy, rapid and effective method in controlling PPH in low resource settings. The study was registered at clinicaltrial.gov , Identifiers: NCT03117647 "retrospectively registererd" registered at April 7, 2017. |
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Members of the public | 1 | 100% |
Mendeley readers
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Student > Master | 6 | 14% |
Student > Bachelor | 5 | 11% |
Student > Postgraduate | 4 | 9% |
Other | 3 | 7% |
Researcher | 3 | 7% |
Other | 5 | 11% |
Unknown | 18 | 41% |
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Biochemistry, Genetics and Molecular Biology | 3 | 7% |
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Agricultural and Biological Sciences | 1 | 2% |
Other | 3 | 7% |
Unknown | 17 | 39% |