Prophylactic Bilateral Uterine Artery Ligation During Cesaerean Section in Women at Risk of Postpartum Hemorrhage
Solyman, A., ElKhouly, N., Hosni, N., Sharaf EL-Din, S., Salama, H. (2025). Prophylactic Bilateral Uterine Artery Ligation During Cesaerean Section in Women at Risk of Postpartum Hemorrhage. EKB Journal Management System, 29(4), 146-154. doi: 10.21608/egyfs.2025.441450
Ayman ElSayed Solyman; Nabih Ibrahim ElKhouly; Nehad Mahmoud Hosni; Samar Talaat Sharaf EL-Din; Heba Farag Salama. "Prophylactic Bilateral Uterine Artery Ligation During Cesaerean Section in Women at Risk of Postpartum Hemorrhage". EKB Journal Management System, 29, 4, 2025, 146-154. doi: 10.21608/egyfs.2025.441450
Solyman, A., ElKhouly, N., Hosni, N., Sharaf EL-Din, S., Salama, H. (2025). 'Prophylactic Bilateral Uterine Artery Ligation During Cesaerean Section in Women at Risk of Postpartum Hemorrhage', EKB Journal Management System, 29(4), pp. 146-154. doi: 10.21608/egyfs.2025.441450
Solyman, A., ElKhouly, N., Hosni, N., Sharaf EL-Din, S., Salama, H. Prophylactic Bilateral Uterine Artery Ligation During Cesaerean Section in Women at Risk of Postpartum Hemorrhage. EKB Journal Management System, 2025; 29(4): 146-154. doi: 10.21608/egyfs.2025.441450

Prophylactic Bilateral Uterine Artery Ligation During Cesaerean Section in Women at Risk of Postpartum Hemorrhage

The Egyptian Journal of Fertility and Sterility
Volume 29, Issue 4 - Serial Number 11106352, July 2025, Page 146-154  XML PDF (285.1 K)
Document Type: Original Article
DOI: 10.21608/egyfs.2025.441450
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Authors
Ayman ElSayed Solyman1; Nabih Ibrahim ElKhouly2; Nehad Mahmoud Hosni2; Samar Talaat Sharaf EL-Din email 3; Heba Farag Salama4
1Ass.Professor of Obstetrics and Gynecology – Faulty of Medicine- Menoufia University, Egypt
2Professor of Obstetrics and Gynecology – Faulty of Medicine- Menoufia University, Egypt
3Resident at Menouf General Hospital
4Ass.Professor of Obstetrics and Gynecology - Faulty of Medicine- Menoufia University, Egypt
Abstract
Objective : The purpose of this study is to Evaluate the effect of bilateral uterine artery ligation on operative and post-operative blood loss in C.S in high risk patients of Postpartum Hge.   
Background: Obstetric hemorrhage is a principal cause of maternal death in both high-and low-income countries. Because it is a leading cause of maternal mortality and morbidity, and most fatal cases are due to substandard care , Bilateral uterine artery ligation (BUAL) is a quick and easy surgical procedure that can be coupled with uterotonics to prevent PPH in high-risk cases such as pla-centa previa. It is also the first step in a uterine devascu-larization approach that can bring about bleeding control in established cases of PPH and it can be used  prophylac-tically to reduce the incidence of PPH in high-risk cases.   
Methods : This is a prospective Randomized clinical trial that was conducted among 484 women attending the la-bor ward at Menoufia university hospital.  
Results: Intraoperative blood loss during cesarean was highly significant lower in the BUAL group than in the control group (524.26±12.17 vs 610.58±18.41mL; P<0.001).Hb deficit postoperative was also significant-ly lower in the BUAL group than in the control group (0.63±0.14 vs 1.76±0.57 g/dl ; P<0.001). There was a sta-tistical significant difference in the AFC of non lactating women after 3 months in the BUAL group than in the control group  (10.10±1.3 vs 12.6±.09 , P<0.001).
Conclusion: BUAL during cesarean was found to be an effective method for decreasing blood loss during and af-ter cesarean delivery among women at risk of uterine ato-ny and subsequent PPH.
Keywords
BUAL; Postpartum hemorrhage; High risk pregnancy
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