Clinical Study
Safety Pin Suture for Management of Atonic Postpartum Hemorrhage
Table 5
Summary of characters of patients with severe atonic PPH treated by the use of safety pin uterine compression suture.
| Age (yrs) | Parity | Gestation (wks) | Presenting diagnosis | Mode of delivery | Volume replacement |
| 24 | PG | 39/40 | Prolonged labor | Emergency LSCS | 4 blood units | | | | | | 2 FFP units | 28 | P1 | 36/40 | Accidental hemorrhage | Vaginal delivery | 8 blood units | | | | | | 4 FFP units | 21 | PG | 37/40 | Severe PET | Emergency LSCS | 4 blood units | 23 | PG | 34/40 | Severe PET, | Emergency LSCS | 6 blood units | | | | HEELP syndrome | | 3 FFP units | 28 | PG | 38/40 | Twins pregnancy | Elective LSCS | 4 blood units | | | | | | 2 FFP units | 27 | PG | 40/40 | Obstructed labor | Emergency LSCS | 7 blood units | | | | | | 2 FFP units | 33 | P3 | 39/40 | Prolonged labor | Vaginal delivery | 10 blood units | | | | | | 4 FFP units | 29 | P2 | 39/40 | PGD, over sized baby | Elective LSCS | 5 blood units | | | | | | 2 FFP units | 27 | P2 | 37/40 | Hydrocephalus, (PBD = 122 mm) | Elective LSCS | 5 blood units | | | | polyhydramnios | | 2 FFP units | 33 | P3 | 38/40 | Accidental hemorrhage, | Vaginal delivery | 12 blood units | | | | (DIC) | | 6 FFP units | 24 | P1 | 41/40 | Obstructed labor | Emergency LSCS | 5 blood units | | | | | | 2 units FFP | 29 | P2 | 38/40 | Prolonged labor | Emergency LSCS | 7 blood units | | | | | | 3 FFP units | 23 | P1 | 36/40 | Triplet pregnancy (ICSI) | Elective LSCS | 5 blood units | | | | | | 2 FFP units |
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LSCS: lower segment caesarean section. FFP: fresh frozen plasma. DIC: disseminated intravascular coagulation. PGD: pregestational diabetes. ICSI: intracytoplasmic sperm inoculation.
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