1Assistant Professor, Department of Obstetrics and Gynaecology, J J M Medical College, Davangere
2Associate Professor, Department of Obstetrics and Gynaecology, J J M Medical College, Davangere
3Senior Resident, Department of Obstetrics and Gynaecology, J J M Medical College, Davangere
*Corresponding Author: Dr Saroja C Kamatar Assistant Professor Department of Obstetrics and Gynaecology, J J M Medical College, Davangere-577004, Karnataka Mob: 09886710853 E-mail: saroja.kamatar7@gmail.com
Online published on 3 April, 2018.
Postpartum hemorrhage (PPH) is the single most significant cause of maternal death worldwide. Caesarean section (LSCS) is one of the commonest surgeries done and excessive blood loss is a major complication of the procedure. If PPH is encountered during LSCS it's a dreaded condition which may lead to maternal morbidity.
An institutional based prospective study was conducted from November 2014 to August 2016. Thirty women who had PPH during LSCS after failed medical line of treatment underwent bilateral uterine and ovarian artery ligation. The outcome was analyzed in terms of effectiveness of procedure in controlling bleeding, need of blood transfusion, need of additional procedures, possibility of avoiding hysterectomy and maternal outcome.
Bilateral uterine and ovarian artery ligation is faster and effective method in controlling bleeding. It avoids the need of an expert in doing the time consuming procedure like internal artery ligation. It also helps in conserving the uterus for all those women who wish to bear children.
LSCS, uterine atonicity, PPH, uterine and ovarian artery
