Uterine Compression Suture In Treatment Of Postpartum Hemorrhage:Clinical Application And Progress

Postpartum hemorrhage (PPH) has led to a high mortality and morbidity. In clinical obstetric deaths due to three main factors, severe postpartum hemorrhage is the midwife and obstetrician’s worst nightmare. Mumtaz Mahal (the wife of Shajahan, died in1630) and princess Welsh of the Charlotte Augusta (died1817) died of severe postpartum hemorrhage. The past100years, important advances include ergonovine and prostaglandins in the application, and B-Lynch suture of the invention, as well as the improvement of conservative treatment of PPH B-Lynch modified suture method.In the modified B-Lynch suture basis, to minimize complications, come nearly ten years derived from Hayman, CHO quadrilateral and other suture techniques, in the treatment of uterine atony, placental factors lead to postpartum hemorrhage, although clinical application has some effect, but the lack of a large sample of study, not for clinical provide conclusive practice on the basis of.Under the direction of Professor Wang Xietong, a systematic review of uterine compression suture techniques sutures methods, indications, clinical results and applications at home and abroad and postpartum hemorrhage and treatment measures. Clinical work through a number of cases of postpartum hemorrhage patients using Cho quadrilateral suture, although there are reports of complications, but the clinical hemostatic effect is rapid and effective, the suture is relatively simple, suitable for in the basic level hospital. For the lack of blood the majority of patients with postpartum hemorrhage in remote areas, to provide effective hemostasis technique, avoiding hysterectomy.Through this study, a comprehensive grasp of the theory and practice of the uterine compression suture; postpartum hemorrhage due to different reasons, different suture. Uterine compression suture method has many operations varying degree of difficulty, every obstetrician, based on the individual’s ability to master at least one suture techniques effectively stop the bleeding as much as possible in the shortest possible time for the patient. cho quadrilateral suture, is worthy of promotion in clinical uterine compression suture techniques.