title: A useful technique for the control of severe cesarean hemorrhage: report of three cases.
abstract: When we are confronted with a patient experiencing placenta previa with massive hemorrhage in cesarean delivery, hemostasis is first attempted using uterotonic drugs, uterine massage, and intrauterine packing. However, if these maneuvers fail, then uterine artery ligation, whole myometrial suture, and subendometrial vasopressin injection should be attempted. Perhaps these procedures alone or in combination can successfully control the hemorrhage. Every obstetrician must be familiar with these simple methods in order to avoid having to perform a hysterectomy and thus preserving the reproductive capability, as well as diminishing the operative morbidity. Finally, we described a full thickness suture for the placental site of bleeding for the lower uterine segment.
authors.affiliation: Department of Obstetrics and Gynecology, Chung Shan Hospital, Taipei, Taiwan, ROC. drgynobs@yam.com
authors.forename: Yiu-Tai
authors.initials: YT
authors.lastname: Li
authors.forename: Chang-Sheng
authors.initials: CS
authors.lastname: Yin
authors.forename: Fu-Min
authors.initials: FM
authors.lastname: Chen
authors.forename: Te-Chang
authors.initials: TC
authors.lastname: Chao
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006489:Hemostatic Techniques; D006801:Humans; D010923:Placenta Previa / Q000150:complications*; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D013536:Suture Techniques