Uterine Preservation With Acar's Atony Suture for Postpartum Uterine Hemorrhage

Necmettin Erbakan University16 enrolled

Overview

This study is aimed to show effectiveness of a new suture technique to stop postpartum uterine bleeding due to uterine atony.

A retrospective study of all women received Acar's uterine compressive atony suture between January 2021-November 2023 at a single tertiary hospital with approximately 4000 deliveries per year, was performed. The local protocol for PPH due to uterine atony is uterine manual compression, 20 IU of intravenous oxytocin in 500 cc of normal saline at 500 cc/h; 800 µg of misoprostol inserted per rectal. If additional treatment is needed, carbetocin 100mcg in 100 cc of normal saline or tranexamic acid in different posologies are used. If uterine atony persists, intrauterine balloon tamponade or uterine compressive sutures were applied at the discretion of the physician and according to mode of delivery. When uterine compressive suture was performed, original Acar's atony suture was applied.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Uterine Atony With Hemorrhage Postpartum Hemorrhage

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * women without systemic disease Exclusion Criteria: * cardiac disease * rheumatological disease

Locations (1)

Cemre Alan

Konya, Turkey (Türkiye)

Outcomes

Primary Outcomes

Postpartum hysterectomy and/or intensive care unit need ratio

The need for hysterectomy or massive transfusion because of unstoppable and mortal bleeding

Time frame: Since first operation to discharge from hospital assessed up to 5 days

Data from ClinicalTrials.gov

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