Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2011, Vol. 07 ›› Issue (02): 147 -150. doi: 10.3877/cma.j.issn.1673-5250.2011.02.019

Original Article

Clinical Analysis of 70 Cases With Uterine Packing in the Management of Massive Hemorrhage During Cesarean Section With Central Placenta Previa

Jun-li GE, Wei-yue ZENG   

  1. Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Published:2011-04-01
Objective

To explore the effectiveness of uterine packing in controlling of intractable hemorrhage during cesarean section with central placenta previa.

Methods

This retrospective study was conducted on clinical data of 70 pregnant women who were diagnosed with central placenta previa from May 2005 to March 2010, and uterine packing has been used in cases of massive hemorrhage during cesarean section. Causes of hemorrhage, the indication of uterine packing, uterine packing procedure and effectiveness were analyzed, and the volume of uterine bleeding during packing and effectiveness of uterine packing were compared. Informed consent was obtained from all participates.

Results

All 70 cases were successfully salvaged, in which 65 cases(92.86%) were successfully in controlling of intraoperative bleeding with uterine cavity ribbon gauze packing; in which 5 cases(7.14%)failed and had hysterectomy. The comparison showed that blood loss during packing were closely related to effectiveness of uterine packing (r=-0.706, P<0.05). And the less blood loss when packing, the better effect, there were significant difference(P<0.05).

Conclusion

Uterine packing is a safe and effective technique in controlling of intractable hemorrhage during cesarean section with central placenta previa.

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[2] Qiaozhen Peng, Weishe Zhang. The relative inducted labor problems of central placenta previa state on the second trimester pregnancy[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2015, 04(02): 77-80.
[3] Fengzhen Han. Application of uterine packing in postpartum hemorrhage[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2014, 03(04): 252-253.
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