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, Pages 146-154 PDF (285.1 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/egyfs.2025.441450 | ||
| Authors | ||
| Ayman ElSayed Solyman1; Nabih Ibrahim ElKhouly2; Nehad Mahmoud Hosni2; Samar Talaat Sharaf EL-Din* 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 | ||
|
Statistics Article View: 105 PDF Download: 52 |
||
