Intrauterine treatment of cystic compression postpartum hemorrhage caused by uterine inertia.docVIP

 PAGE \* MERGEFORMAT 6 Intrauterine treatment of cystic compression postpartum hemorrhage caused by uterine inertia [Keywords:] postpartum hemorrhage; bladders oppression; bleeding Postpartum hemorrhage refers to fetal blood loss within 24h after delivery of more than 500ml, as a serious complication of childbirth, ranking first in China’s cause of maternal mortality, the incidence rate of the total number of deliveries of 2% to 3% [1], postpartum uterine atony The most common cause of bleeding. How is the rapid control of postpartum hemorrhage in the emergency state of clinical obstetricians face a pressing problem, especially primary health centers obstetrics, surgery and transfusion-free conditions, how to stop the bleeding time is the primary life-saving maternal obstetricians The most pressing problem. in our hospital from July 2008 -2009 water balloon in June to stop bleeding by treatment of uterine atony postpartum bleeding in 6 patients, the method is simple, satisfactory results are reported as follows. 1 Clinical data 1.1 General information on maternal age 21 to 28 years, mean 24 years old, primipara in 4 cases, 2 cases by mothers, gestational age of 38 +2 to 41 +6 weeks, an average of 39 +3 weeks, 3 of them have flow history of a primipara times. mode of delivery: lower uterine segment cesarean section in 3 cases, 3 cases of vaginal delivery. deliveries are generally in good condition before, coagulation function is normal, vaginal delivery has been stitched soft birth canal laceration, 1 case of placenta accreta by hand after curettage Bedside B-check intrauterine no residue, 6 cases of bleeding due to uterine atony caught giving massage the uterus, vein, Palace, lower uterine segment (of a cesarean section) injection uterotonics average of 52U, 10% calcium gluconate 10ml intravenous injection, misoprostol 400g anus, including 3 cases of cesarean section placental separation surface with warm salt water to stop bleeding, the bleeding si