title: Uterine folding hemostasis: a simpler and safer technique for controlling atonic postpartum hemorrhage.
abstract: To observe the efficacy and safety of a uterine folding hemostatic technique in controlling atonic postpartum hemorrhage (PPH) during cesarean delivery.
  
  
  
  Thirty-nine women with severe postpartum bleeding from uterine inertia, which did not react to conventional initial management protocols, underwent a uterine folding hemostasis. The procedure was to fold the uterine fundus onto the anterior wall of the corpus uterus using an absorbable suture that thread tautly through the inner myometrial layer of the uterus 1-3 cm below the fundus (not entered into uterine cavity) and 1-2 cm above and below the CS incision (entered into uterine cavity 2-4 cm medal to bilateral border of the uterus).
  
  
  
  The technique was sufficient to stanch bleeding immediately in 32 patients (82.1 %). Seven women underwent hypogastric arteries ligation (1 case) or uterine arterial embolization (6 cases) because of continuous bleeding after the procedure. There were no morbidities or abnormalities of the uterus in these 32 patients. Eight women had pregnancies after this hemostasis and the others lacked the desire for future pregnancy.
  
  
  
  Uterine folding hemostasis is a simple, safe and effective technique to control the atonic PPH.
authors.affiliation: Department of Obstetrics and Gynecology, China Meitan General Hospital, No.29 Xibahe Nanli, Chaoyang District, 100028, Beijing, People's Republic of China. lgt93@126.com.|Department of Obstetrics and Gynecology, Beijing Fengtai Hospital, No. 1 Xi'an Jie, Fengtai District, 100071, Beijing, People's Republic of China. lgt93@126.com.
authors.forename: Guang-Tai
authors.initials: GT
authors.lastname: Li
authors.affiliation: China Academy of Chinese Medical Sciences, Wangjing Hospital, Huajiadi Jie, Chaoyang District, 100102, Beijing, People's Republic of China.
authors.forename: Guang-Rui
authors.initials: GR
authors.lastname: Li
authors.affiliation: Department of Obstetrics and Gynecology, Beijing Fengtai Hospital, No. 1 Xi'an Jie, Fengtai District, 100071, Beijing, People's Republic of China.
authors.forename: Hong-Mei
authors.initials: HM
authors.lastname: Xu
authors.affiliation: Department of Obstetrics and Gynecology, China Meitan General Hospital, No.29 Xibahe Nanli, Chaoyang District, 100028, Beijing, People's Republic of China.|Department of Obstetrics and Gynecology, Beijing Fengtai Hospital, No. 1 Xi'an Jie, Fengtai District, 100071, Beijing, People's Republic of China.
authors.forename: Bao-Ping
authors.initials: BP
authors.lastname: Wu
authors.affiliation: Fengtai Maternal and Child Hospital, Caihuying, Fengtai District, 100069, Beijing, People's Republic of China.
authors.forename: Xiao-Nian
authors.initials: XN
authors.lastname: Wang
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006487:Hemostasis; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D013536:Suture Techniques / Q000009:adverse effects; D013537:Sutures; D014593:Uterine Inertia / Q000601:surgery*; D014599:Uterus / Q000601:surgery*; D055815:Young Adult
keywords: Postpartum hemorrhage; Uterine atony; Uterine compression suture; Uterine folding hemostasis