Author:
Zhang Qianwen,Li Tao,Xu Yu,Hu Yayi
Abstract
Abstract
Background
To assess the efficacy and safety of bilateral-contralateral cervix clamp firstly applied in postpartum hemorrhage caused by uterine tony of lower segment.
Methods
Totally 47 pregnant women with postpartum hemorrhage secondary to lower uterine segment atony in vaginal delivery or after caesarean delivery were included from March 1, 2020 to May 31, 2020. According to patient’s informed consent, 22 women accepted cervical clamp to treat and 25 only used uterotonics in control group.
Then hemostatic efficacy and safety of bilateral-contralateral cervix clamp were assessed by retrospective analysis.
Results
It was found that mean blood loss in clamp group was much less during vaginal delivery (656.2±72.79 g vs 811.8±86.07 g, p = 0.001) or after caesarean delivery (42.8±6.60 g vs 126.3±86.97 g, p = 0.007), and incidence of uterotonic repeated usage (81.8% vs 36, 18.2% vs 64%, p = 0.001) or side effect (18.2% vs 48.0%, p = 0.031) appeared less than control group, but there was no statistical differences on hospital stay (4.1±1.57 days vs 3.8±1.61 days, p = 0.535), hemoglobin (119±4.10 g vs 121.4±4.19 g, p = 0.058), blood transfusion (9.1% vs 12%,p = 0.746), surgical procedures (4.5% vs 4.0%, p = 0.93), also no clamp complications occurred.
Conclusions
The bilateral-contralateral cervix clamp was effective and safe, this new technique could be a complementary treatment for postpartum hemorrhage.
Funder
Basic Applied Research in Sichuan Province
Chengdu Science and Technology Innovation R&D Project
Hospital Clinical Research Fund Project in West China Second University Hospital, Sichuan University
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynaecology
Reference25 articles.
1. Souza JP, Gülmezoglu AM, Vogel J, Carroli G, Lumbiganon P, Qureshi Z, et al. Moving beyond essential interventions for reduction of maternal mortality (the WHO multicountry survey on Maternal and newborn health): a cross-sectional study. Lancet. 2013;381(9879):1747–55. https://doi.org/10.1016/S0140-6736(13)60686-8.
2. Magann EF, Evans S, Hutchinson M, Collins R, Howard BC, Morrison JC. Postpartum hemorrhage after vaginal birth: an analysis of risk factors. South Med J. 2005;98(4):419–22. https://doi.org/10.1097/01.SMJ.0000152760.34443.86.
3. Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels J, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health. 2014;2(6):e323–33. https://doi.org/10.1016/S2214-109X(14)70227-X.
4. GBD 2015 Maternal Mortality Collaborators. Global, regional, and national levels of maternal mortality, 1990–2015: a systematic analysis for the global burden of disease study 2015. Lancet. 2016;388(10053):1775–812. https://doi.org/10.1016/S0140-6736(16)31470-2.
5. China Maternal and Child Health Surveillance Office. National Maternal and Child Health Surveillance. http://www.mchscn.org/admin/xiazai/tongxun/ The first issue of the National Maternal and Child Health Monitoring and Annual Report 2020.pdf [Accessed 7 Aug 2020].
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