Uterine Preservation With Acar's Atony Suture for Postpartum Uterine Atony
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 16
- 试验地点
- 1
- 主要终点
- Postpartum hysterectomy and/or intensive care unit need ratio
研究概览
简要总结
This study is aimed to show effectiveness of a new suture technique to stop postpartum uterine bleeding due to uterine atony.
详细描述
A retrospective study of all women received Acar's uterine compressive atony suture between January 2021-November 2023 at a single tertiary hospital with approximately 4000 deliveries per year, was performed. The local protocol for PPH due to uterine atony is uterine manual compression, 20 IU of intravenous oxytocin in 500 cc of normal saline at 500 cc/h; 800 µg of misoprostol inserted per rectal. If additional treatment is needed, carbetocin 100mcg in 100 cc of normal saline or tranexamic acid in different posologies are used.
If uterine atony persists, intrauterine balloon tamponade or uterine compressive sutures were applied at the discretion of the physician and according to mode of delivery. When uterine compressive suture was performed, original Acar's atony suture was applied.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •women without systemic disease
排除标准
- •cardiac disease
- •rheumatological disease
结局指标
主要结局
Postpartum hysterectomy and/or intensive care unit need ratio
时间窗: Since first operation to discharge from hospital assessed up to 5 days
The need for hysterectomy or massive transfusion because of unstoppable and mortal bleeding
次要结局
未报告次要终点
研究者
Cemre Alan
Fellow of Gynecologic Oncology
Necmettin Erbakan University