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A novel ‘uterine sandwich’ for haemorrhage at caesarean section for placenta praevia
Author(s) -
Matsubara Shigeki,
Kuwata Tomoyuki,
Baba Yosuke,
Usui Rie,
Suzuki Hirotada,
Takahashi Hironori,
Ohkuchi Akihide,
Suzuki Mitsuaki
Publication year - 2014
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12184
Subject(s) - placenta , caesarean section , medicine , obstetrics , placenta previa , uterus , pregnancy , blood loss , fetus , surgery , biology , genetics
Although massive haemorrhage at caesarean section (CS) for placenta praevia is a serious concern, effective treatment is not yet determined. We performed a new uterine sandwich to achieve haemostasis at CS for total placenta praevia in five consecutive cases in whom the placenta reached up to >5 cm from the internal cervical os in all directions of an uterine wall. A Matsubara‐Yano (MY) uterine compression suture was placed, followed by placement of an intrauterine balloon. Haemostasis was achieved in all five cases with median blood loss of 1618 mL. No short‐term adverse events were observed. The MY sandwich can be used to achieve haemostasis at CS for placenta praevia.