title: [Uterine packing efficacy in postpartum hemorrhage. About 99 cases. The experience of a French hospital level 2 A].
abstract: OBJECTIVE
  To show place and usefulness of intra-uterine compression in management of post-partum haemorrhage (PPH).
  
  
  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.
  
  
  CONCLUSIONS
  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.
authors: Service de gynécologie-obstétrique, centre hospitalier, 7, avenue Alphonse-Daudet, 30200 Bagnols-sur-Cèze, France.
authors: M
authors: M
authors: Makosso
authors: Service de gynécologie-obstétrique, centre hospitalier, 7, avenue Alphonse-Daudet, 30200 Bagnols-sur-Cèze, France.
authors: A-B
authors: AB
authors: Koné
authors: Département d'anesthésie et réanimation, centre hospitalier, 30200 Bagnols-sur-Cèze, France.
authors: M
authors: M
authors: Rossignol
authors: Service de gynécologie-obstétrique, centre hospitalier universitaire Arnaud-de-Villeneuve, 371, avenue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France.
authors: P
authors: P
authors: Bénos
authors: Service de gynécologie-obstétrique, centre hospitalier universitaire Carémeau, 4, rue du Professeur-Robert-Debré, 30000 Nîmes, France. Electronic address: renaud.detayrac@chu-nimes.fr.
authors: R
authors: R
authors: de Tayrac
authors: Service de gynécologie-obstétrique, centre hospitalier universitaire Carémeau, 4, rue du Professeur-Robert-Debré, 30000 Nîmes, France.
authors: P
authors: P
authors: Marès
mesh_terms: D036861:Delivery, Obstetric / Q000009:adverse effects / Q000534:rehabilitation; D005260:Female; D005602:France / Q000453:epidemiology; D006784:Hospitals, Teaching; D006801:Humans; D007231:Infant, Newborn; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D012189:Retrospective Studies; D013526:Surgical Mesh; D061665:Time-to-Treatment; D016896:Treatment Outcome; D058738:Uterine Balloon Tamponade / Q000295:instrumentation / Q000379:methods; D014599:Uterus / Q000473:pathology
keywords: Hémorragie du post-partum; Intra-uterine compression; Intra-uterine mesh; Méchage intra-utérin; Postpartum haemorrhage; Tamponnement intra-utérin