A small change in practice leading to significant reduction in per operative blood loss and maternal death
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 7, Issue 2
Abstract
Aims and objective: Placenta previaaccreta is becoming an increasingly common complication of pregnancy because of increasing rate of caesarean section combining with increasing maternal age. Conventionally we used to practice manual separation of placenta if it fails to separate spontaneously with oxytocics. This had led to torrential per-operative haemorrhage obscuring the field of operation and giving much less time to dohysterectomy / ligation of vessels. This technique was associated with very high maternal mortality and morbidity. Our aim was to save the life of the mother in this condition. Material and method: We have analyzed the cause of death of placenta previa cases, case sheet of caesarean hysterectomy (due to placenta previa) cases and case sheet of all placenta previa cases managed in ICU/HDU. It had been found out that per-operative torrential haemorrhage following manual separation of placenta was the reason behind. So we changed our strategy and caesarean hyaterectomy was done without manually separating placenta and analyzed case records. Then we compared it statistically with previous technique. Conclusion: Results of this comparative retrospective analysis showed significant reduction in maternal mortality and morbidity by newer technique.
Authors and Affiliations
Malabika Misra, Ronita Roy Chowdhury, Gandhary Basu, Banashree Bhadra
Keywords
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- EP ID EP470766
- DOI 10.26611/1012724
- Views 167
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