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Vaginal ligature of uterine arteries during postpartum hemorrhage
Author(s) -
Philippe H.J.,
d'Oreye D.,
Lewin D.
Publication year - 1997
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(96)02816-0
Subject(s) - medicine , ligature , uterine inertia , hemostasis , hysterectomy , uterine cavity , uterine artery , uterine rupture , surgery , uterus , pregnancy , gestation , genetics , biology
Immediate postpartum hemorrhage due to uterine inertia is usually treated by injection of oxytocics. In some situations, bleeding continues and distends the uterine cavity, in turn disturbing the hemostasis that accompanies uterine retraction. Uterine bleeding must be rapidly reduced while the coagulation defect is corrected. The authors propose the vaginal ligature of uterine arteries, which can be performed in the delivery room, as an alternative to hysterectomy.