[Uterine packing efficacy in postpartum hemorrhage. About 99 cases. The experience of a French hospital level 2 A].
Le méchage intra-utérin : utilité et place dans la prise en charge de l’hémorragie du post-partum immédiat. À propos de 99 cas. L’expérience d’un centre hospitalier français de niveau 2 A
Résumé
OBJECTIVE:
To show place and usefulness of intra-uterine compression in management of post-partum haemorrhage (PPH).
MATERIAL AND METHODS:
Retrospective cohort study, monocentric, including all consecutive cases of PPH during four years in an obstetric department of level IIa. The compression technique was the use of intra-uterine meshes, and efficacy was defined as a total and immediate bleeding interruption. Apart of meshes, patients received sulprostone then ocytocine and antibiotics.
RESULTS:
The rate of PPH was 3.8% on 3913 deliveries. One hundred and fifty patients with PPH were managed following CNGOF guidelines. Ninety-nine patients were also treated with intra-uterine meshes during 24hours. The rate of mesh success was 91.9%. Sixty-two cases of subsequent pregnancies were also reported.
CONCLUSION:
In case of PPH, intra-uterine compression using meshes is simple, cheap and efficient. That technique could avoid the use of invasive surgical procedures and a safer post-natal transfer.