title: [Anesthetic Management of Massive Postpartum Haemorrhage in Which Uterine Compression Sutures Were Used].
abstract: BACKGROUND
  Uteline compression sutures which preserve portion of placenta tends to cause disseminated intravascular coagulation (DIC). But there have been no reports of anesthetic management of massive postpartum haemorrhage in which uterine compression sutures were used.
  
  
  METHODS
  We reviewed the anesthetic management of 9 cases of massive postpartum haemorrhage in which uterine compression sutures were used in our hospital from May 2010 until Sep 2012.
  
  
  RESULTS
  Seven cases were complicated by DIC (or the possibility of DIC) and required early infusion of blood products. Six cases required the use of ventilators. All cases recovered and were ultimately discharged.
  
  
  CONCLUSIONS
  In the cases of massive postpartum haemorrhage in which uterine compression sutures were used, serious blood loss occurred during the operation, leading to a high probability of the development of DIC. Thus, it is necessary to manage DIC immediately.
authors.forename: Noriko
authors.initials: N
authors.lastname: Sato
authors.forename: Chieko
authors.initials: C
authors.lastname: Akinaga
authors.forename: Suguru
authors.initials: S
authors.lastname: Kikuchi
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Ito
authors.forename: Matsuyuki
authors.initials: M
authors.lastname: Doi
authors.forename: Naohiro
authors.initials: N
authors.lastname: Kanayama
authors.forename: Shigehito
authors.initials: S
authors.lastname: Sato
mesh_terms: D000328:Adult; D000758:Anesthesia / Q000379:methods*; D004211:Disseminated Intravascular Coagulation / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D013537:Sutures; D014599:Uterus