Search

Aim: To assess safety and efficacy of transcatheter embolization in the treatment of post-partum bleedings. Materials and Methods: In a single institution, the outcome of 15 patients who underwent trans arterial embolization (TAE) for post-partum hemorrhages (PPH) were retrospectively reviewed. Eleven patients presented with hemodynamic instability requiring blood transfusion (73 %), four patients were hemodynamically stable (27 %). Arterial embolization was performed with gelatin sponge, particles and coils. Results: Mean follow-up time was 21.2 months (range 12-48 months). Technical success rate was 100%. The overall clinical success rate was 100%. No major complications that required intensive care treatment were registered during or after the procedures. No patient required emergency surgery and subsequent hysterectomy. During follow-up, four patients become pregnant after transcatheter arterial embolization, and delivered full-term and healthy infants. Conclusions: TAE is a safe method that allows to avoid surgery and hysterectomy for uncontrollable post-partum hemorrhage; a future normal pregnancy after embolization may be hypothesized.

Bleeding is one of the causes of maternal deaths at Curup General Hospital in 2016with the number of cases as many as 123 cases. Many factors affect the occurrence of postpartumbleeding such as parity, birth spacing, age and anemia. This study aims to determine the riskfactors that affect post partum hemorrhage at Curup General Hospital District Rejang LebongYear 2016. Descriptive analytic research method with case control design. The sample was 246with ratio 1 between case group and control group (123). Data were analyzed by univariate,bivariate and multivariate using cgi square test and binary logistic regression. There was nocorrelation between birth and postpartum hemorrhage (p-value = 0.199, OR = 1.392), there was acorrelation between birth age and postpartum hemorrhage (p-value = 0.002, OR = 2.220) and noanemia relationship with postpartum hemorrhage (p-value = 0.294, OR = 0.759). The mostinfluential factors for post partum bleeding were parity (p-value = 0.044, OR = 0.589). Especiallyin mothers to be delivered in specific and comprehensive detection especially for mother primi orgrandemultipara especially at the time of III and IV by doing active management action of thirdstage so as to prevent the occurrence of uterine atony.

Background: The objective of this study was to determine the frequency, skills level of health care service providers; to identify complications and difficulties related to the implementation of AMTPC/GATPA.Methods: It was about prospective study, descriptive of 6 months (1st March to 31st August 2014) carried out in the maternity hospitals of Faranah, Kindia, Mamou and Nzérékoré. It concerned the parturient women who had recently given birth and the personnel that carried out AMTPC/GATPA in these hospitals.Results: During the study period of 1,254 out of 1,305 births had benefited of AMTPC/GATPA, a frequency of 96.1%. The midwives were the most represented personnel in the implementation of GATPA (44.1%). In 46.4% of the cases, the health care service providers acquired this competence from the initial training. The release was obtained in the first trial in 64.9% cases. The duration of implementation of GATPA was less than 5 minutes in 72.6% cases. The different stages were respected in 91.5% cases. Complications were dominated by retention of placental fragments (10.2%). Lack of oxytocin was the main difficulty (36.6%).Conclusions: The sustainability of this achievement would depend on the systematic and correct implementation of AMTPC/GATPA at all childbirth attendants and the effective management of oxytocin.

The immediate factor causing high maternal mortality rate was bleeding (30,3%), especially post partum bleeding. In addition, hypertension (27.1%), infection (7.3%), and long handled parturition (1.7%) and based on pre-survey data on 27-4-2018 at public health working regency of Pesawaran occurring 2 people death due to eclampsia. This study aims to determine the effect of giving yogurt to pregnant women with hypertension in the Area of Health Service District Pesawaran Year 2018. This type of research is quantitative by using the experimental approach (pre experiment) with pretest-posttest approach with control group. The population in this study were all pregnant women with hypertension. Data in this research taken by simple purposive sample with primary data and data analysis using pretest dependent.. The results of this study showed that there was an effect of yogurt on blood pressure reduction, which mean score of sitole blood pressure before yogurt adduction was significantly higher than after yogurt adduction (p value 0,000

Objective: To evaluate the effect of the first cesarean section (CS) on the subsequent delivery. Methods: This prospective cohort study was carried out in two major hospitals of Yaounde, Cameroon, from November 1st, 2013 to April 30th, 2014. Maternity records at second delivery of parturient whose first delivery was done by CS (primary CS) or vaginally was compared. The main variables recorded included maternal age, intergenesic period, gestational age at delivery, mode of delivery, birth weight, uterine rupture and post-partum haemorrhage. Data were analyzed using Epi info 3.5.4. Fisher exact test and t-test were used for comparison. P

The post partum bleeding was a casual of serious blood lose which most commonly found in obstetrics case and was most casual of death in from all mother’s mortality case. The objectives of this research was o find out the early post partum incident in RSUD Dr. M. Djamil Padang in 2005 compare with all childbird case during 005 in RSUP Dr. M. Djamil Padang , and to find out early post partum incident in RSUP Dr. M. Dlail Padang according to the parity based on the number of early post partum bleeding in 2005. Kind of research was descriptive retrospective research with all of mother who giving birth in RSUP Dr. M. Djamil Padang which experiences the post partum bleeding as the population. The sample was all of mother who gave birth with experiences post partum bleeding based on parity. Data was taken through data collection format. Data analysis used univariate and bivariate analysis. The result found that the post partum bleeding incident in RSUD Dr. M Djamil Padang in 2005 was 4,40% from all of the childbirth, whereas post partum bleeding was in second place of ten most obstetrics case in RSUP Dr. M. Djamil Padang. There was also found that the incident rate of 1 parity were 15 cases or 11,54 %. 2-3 parity was 52 case or 40 % and 4 or more parity was higher compare to 2-3 parity, wich are 63 case or 48,46%. Bivariate analysis found that calculate X2 > X2 table, so it can concludes that there was a significant relationship between post partum bleeding in RSUP Dr. M. Djamil Padang with parity. Researcher advising the paramedics to inform the societyto not having children more than 4, because it could increse the risks on the next childbirth which one of them is post partum bleeding.

After marriage and the subsequent initiation into womanhood, the assumption in early modern society was that an early birth was desirable to cement the relationship and secure the bloodline. As Laura Gowing has asserted, ‘Fertility mattered enormously to women’s roles and to marriage. Pregnancy marked another stage in the transition from single woman to matron, and the rituals of childbirth brought a woman into the circle of married women and mothers’.1 This chapter will argue that the blood lost after a birth signified the completion of this transition to womanhood in its most full sense. As part of its analysis of lochial and post-partum bleeding, this chapter will also offer a study of bleeding in pregnancy and labour. In the prevailing humoral system the management of a woman’s blood levels carried implications for the success of the pregnancy and the transition to motherhood. Further, post-partum bleeding was considered to be analogous to menstruation and so carried with it assumptions about the ways in which women ought to behave if bleeding was occurring. Antenatal bleeding was also associated with grave implications for the outcome of the pregnancy and the potential disruption this wrought for the transition to motherhood. So the chapter forms an overview of all occasions of bleeding involving pregnancy and birth. Similarly, many of the rituals then associated with childbirth were formed around the blood loss. So the ways in which birth was managed culturally will be examined here as part of the main thematic concern of analysing lochial bleeding.

A prospective observational study was performed to evaluate the performance of a modified uterine compression suturing technique for the management of refractory post partum hemorrhage (PPH) at two leading tertiary referral centers in Colombo, Sri Lanka. An modified anchored B-Lynch suture was done in 17 women with PPH due to uterine atony. In 13 of the women (76%), bleeding was arrested and the uterus conserved. Four women (24%) did not respond to the anchored compression sutures, necessitating emergency post partum hysterectomy. Mean age was 31.2 years. Nine of the women (53%) were primiparous and eight (47%) parous. Mean estimated blood loss was 1994 ml (range 1200-3300 ml). This newly modified anchor B-Lynch compression suture appeared effective in controlling about 75% of PPH due to uterine atony, which allowed uterine conservation. This simple modification can provide a first line surgical step to control PPH.

We have described a modification of the B-Lynch uterine compression suture which is simple and effective. This technique apposes the anterior and posterior uterine walls, obliterating the cavity and thereby provides effective control of post-partum haemorrhage as a result of uterine atony. It comprises of vertical compression sutures and is distinct from B-Lynch and Haymen's suture by having an additional firm puncture just below the uterine fundus. This means that the suture is transfixed at the uterine fundus, thus eliminating the risk of the sutures sliding off at the uterine fundus.

Ongoing bleeding from patients who have an acquired coagulopathy post-surgery is a common problem. Strategies that are available to combat this problem revolve around the replacement of coagulation factors, platelets, and red blood cells as necessary. These strategies are not always successful and a more direct approach to activating the coagulation system can be more effective and in some instances life saving. We describe the use of recombinant factor VIIa in a patient with ongoing post partum bleeding.

Approximately 500 unselected patients were observed during the third stage of delivery, the immediate post-partum period and the subsequent puerperium, with reference to the amount of immediate and secondary bleeding, uterine tone, and the appearance of foul lochia. These patients were divided into two groups, one of which was treated with pitocin and ergotamine tartrate, and the second of which was treated with an ergonovine preparation. Comparison between the two groups would appear to establish: 1. That the ergonovine preparation used was more efficient in preventing and controlling abnormal bleeding than the ergotamine tartrate preparation. This difference is accentuated by the fact that the ergotamine tartrate was used in combination with a potent pituitary extract. 2. That ether anesthesia predisposes most to post-partum bleeding and nitrous oxide least, of the small group of anesthetic agents studied. 3. That the type of delivery had no essential effect on the incidence of post-partum bleeding. 4. That the occurrence of abnormal post-partum bleeding appears to predispose to sapremic infection of the uterus. 5. That none of the corollary factors concerned in this study modifies the first conclusion as to the clinical superiority of ergonovine preparations over older forms of ergot derivatives.

Post-partum bleeding was estimated during the first 72 hours in 106 women with normal delivery at term, all had live child with a body weight between 2.5 and 3.5 Kg. Three groups of women were studied: Group 1 comprised 41 volunteers with normal deliveries to whom no medication had been administered; Group 2 comprised 39 volunteers receiving 20 IU of oxytocin in 250 ml of a 5% glucose solution, immediately after delivery; and in Group 3, 26 volunteers received 0.2 mg of ergonovine maleate, orally three times daily for three days. The average post-partum blood loss in Group 1 during the first 72 hours after delivery was 151.5 ± 12.5 ml; for Group 2, 155.9 ± 13.9 ml; and for Group 3, 135.5 ± 15.9 ml. There were no significant differences among the groups and, most of the blood loss occurred during the first 24 hours after delivery.

Post-partum bleeding was measured for 72 hours in 66 volunteer healthy women after normal pregnancy and delivery at term. After complete placenta expulsion, a 220C Copper T was placed by the attending physician in 33 volunteer subjects before leaving the delivery room. Similar number of volunteer subjects served as a control. Post-partum bleeding during the 72 hours of study was 134.7 ± 16.3 ml for the IUD group and 155.9 ± 16.0 ml for the control group. No differences were detected among the two groups. Hemoglobin levels were the same for both groups, being at 72 hours after delivery, 11.9 ± 0.28 gm/ml for the IUD group and 12.2 ± 0.36 for controls. None of the women with immediate post-partum IUD insertion had any changes in the normal characteristics of their post-partum period.

Background : Postpartum hemorrhage is the leading cause of the maternal death worldwide. Postpartum hemorrhage accounted 20% of all causes of maternal death in Bondowoso, East Java. This study aimed to examine the risk factors of postpartum hemorrhage. Subjects and M et hod: This was an analytic observational study using case control design. The study was carried out at 5 community health centers, Bondowoso District, East Java, from March to May 2017. A sample of 120 study subjects were selected for this study by fixed disease sampling, consisting of 40 postpartum women with hemorrhage and 80 postpartum women without hemorrhage. The dependent variable was postpartum hemorrhage. The independent variables were family income, birth space, type of delivery, mother's middle upper arm circumference (MUAC), antenatal visit, and high-risk score card. The data were collected by a set of pre-tested questionnaire. Path analysis was employed for data analysis. Results : Post partum bleeding was directly affected by birth space 10 years (b=3.03; 95% CI = 1.52 to 4.55; p 10 years (b=0.80; 95% CI= 0.32 to 1.57; p= 0.041), family income < Rp 1,417,000 (b=0.72; 95% CI= -0.57 to 1.49; p= 0.070), and antenatal visit ≥ 4 (b=0.70; 95% CI= -0.07 to 1.48; p= 0.076). MUAC was affected by family income ≥ Rp 1,417,000 (b=0.67; 95% CI= -0.08 to 1.44; p= 0.083). Type of delivery (assisted) was affected by high-risk score card