The Efficacy of Different Methods of Haemostasis for Postpartum Haemorrhage

Abstract

There are many methods for stopping postpartum haemorrhage. However, ascertaining the timeliness and indications for the most effective, minimally bleeding and organ-preserving method is important to preserve a woman's life and health.

Purpose: To study the efficacy of different methods of hemostasis for massive postpartum haemorrhage.

Material and methods. A retrospective analysis of the course of the postpartum period in 91 patients with postpartum haemorrhage was performed to determine the efficacy of different methods for stopping obstetric haemorrhage, of which 46 (50.5%) were delivered through natural childbirth, and 45 (49.5%) were delivered by caesarean section. Our analysis was guided by the procedures outlined in the National Standards for Improving the Quality of Perinatal Care in Obstetric Institutions of the Health System of the Republic of Uzbekistan (Tashkent, 2017) and the Collection of Clinical Protocols in Obstetrics (Tashkent, 2019). 

Results. The most effective method of stopping postpartum atonic bleeding is laparotomy surgery, ligation of the internal iliac artery. However, studies have shown that doctors often resort to this method when there is heavy bleeding as a result of prolonged conservative measures. This has led to the need to expand the scope of surgical intervention to a radical operation: uterine extirpation. B-Linch suturing may be an effective method for the development of uterine atony during caesarean section but this method is not common enough in the Samarkand maternity hospital practice.