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A thrombogenic uterine pack for postpartum hemorrhage
1Department of Obstetrics and Gynecology, Wayne State University/Hutzel Hospital, Detroit, Michigan, USA.
Obstetrics and Gynecology
|May 1, 1995
Summary
A thrombin-soaked uterine pack successfully managed postpartum hemorrhage in a patient with a low-lying placenta. This method offers an alternative treatment for severe bleeding after childbirth.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
Background:
- Low-lying placenta and placenta previa are associated with postpartum hemorrhage.
- Hemorrhage often originates from the lower uterine segment.
Observation:
- A case study involving a 30-year-old woman with placenta previa, diagnosed via ultrasound.
- Following vacuum-assisted delivery, the patient experienced severe PPH unresponsive to standard treatments like oxytocin, prostaglandins, and curettage.
Findings:
- A thrombin-soaked uterine pack was applied to the bleeding site, effectively controlling the hemorrhage.
- The pack was removed after 8 hours with no further complications, and the patient was discharged three days postpartum.
Implications:
- Thrombin-soaked uterine packing presents a viable, less invasive option for managing PPH in selected cases of low-lying placenta.
- This technique provides obstetricians with an additional therapeutic strategy to avoid more invasive procedures like laparotomy.