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

LSCS: lower segment caesarean section. FFP: fresh frozen plasma. DIC: disseminated intravascular coagulation. PGD: pregestational diabetes. ICSI: intracytoplasmic sperm inoculation.