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Federación Mexicana de Ginecología y Obstetricia, A.C.

2016, Number 04

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Ginecol Obstet Mex 2016; 84 (04)

Treatment of postpartum hemorrhage with intrauterine hydrostatic condom

Sandoval-García-Travesí FA, Hinojosa-Cruz JC, Reyes-Hernández MU, Sandoval-Barajas D, Lorca-Jiménez G, Mendoza-Reyes E, Cruz-Durán JG

Language: Spanish
References: 31
Page: 243-251
PDF size: 390.85 Kb.


ABSTRACT

Objetive: To report of experience of intrauterine hydrostatic condom to control obstetric hemorrhage.
Material and Method: Descriptive, retro-prospective study. The method was use in patients who had obstetric hemorrhage and do not responded to medical management during the period from March 1st to August 27, 2015 in a rural facility.
Results: 955 patients that had a vaginal delivery were identified, 40 (4.1%) of which needed the application of the method. The method was unsuccessful in 2 of 40 patients (5%), one requiring emergency obstetric hysterectomy and other exploratory laparotomy with conservative measures. 11 of 40 patients (27.5%) required at least 1-3 globular packs transfusion. None of the 38 patients (95%) who responded to the method presented endometritis in the postpartum follow up or complications associated with the use of hydrostatic condom.
Conclusion: The use of intrauterine hydrostatic condom is an effective method to control postpartum obstetric hemorrhage secondary to uterine atony unresponsive to medical management.


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