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Uterine Preservation With Acar's Atony Suture for Postpartum Uterine Hemorrhage

Completed
Conditions
Uterine Atony With Hemorrhage
Postpartum Hemorrhage
Registration Number
NCT06353074
Lead Sponsor
Necmettin Erbakan University
Brief Summary

This study is aimed to show effectiveness of a new suture technique to stop postpartum uterine bleeding due to uterine atony.

Detailed Description

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.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
16
Inclusion Criteria
  • women without systemic disease
Exclusion Criteria
  • cardiac disease
  • rheumatological disease

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Postpartum hysterectomy and/or intensive care unit need ratioSince first operation to discharge from hospital assessed up to 5 days

The need for hysterectomy or massive transfusion because of unstoppable and mortal bleeding

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Cemre Alan

🇹🇷

Konya, Turkey

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