Examining Clinical Application Value of Uterine Compression Suture in the Treatment of Postpartum Hemorrhage
Download PDF

Keywords

Postpartum hemorrhage
Uterine compression suture
Postoperative bleeding volume
Complications

DOI

10.26689/aogr.v1i2.5396

Submitted : 2023-08-27
Accepted : 2023-09-11
Published : 2023-09-26

Abstract

Objective: To observe and explore the clinical effect of uterine compression sutures in treating postpartum hemorrhage. Methods: 56 patients with postpartum hemorrhage were diagnosed and treated from January 2020 to December 2022. According to the coin toss method, they were divided into the conventional group (given routine hemostatic treatment) and the research group (given uterine compression suture), with 28 cases in each group. The hemostatic efficiency, postoperative recovery time, postoperative bleeding volume, and complication rate were compared between the two groups. Results: The hemostatic efficiency of the research group was higher than that of the conventional group (P < 0.05); the hemostasis time, total hospitalization time, lochia excretion promotion time, and time for the menstrual cycle to return to normal in the research group were shorter than those of the conventional group (P < 0.05); the bleeding volume at 2 hours and 24 hours after surgery in the research group was lower than that in the conventional group (P < 0.05); the total incidence of complications such as fever, uterine adhesions, incisional bleeding, and fluid dark areas in the research group was lower than that in the conventional group (P < 0.05). Conclusion: The hemostatic effect of the uterine compression suture is accurate. It stops bleeding quickly and can significantly reduce the amount of perioperative bleeding. It can also reduce postoperative complications and speed up recovery with a specific reference value.

References

Niu X, Guo Y, Yang L, 2022, Research Progress on the Cause, Diagnosis, and Treatment of Postpartum Hemorrhage. Medical Information, 35(20): 161–165.

Huang Q, Luo M, Liao W, et al., 2021, Investigation and Analysis of Postpartum Hemorrhage in Sichuan Provincial People’s Hospital from 2013 to 2020. Practical Hospital Clinical Journal, 18(6): 194–197.

Zhou G, Dai H, Chen Y, et al., 2019, Analysis of Risk Factors for Postpartum Hemorrhage. Chinese Journal of Modern Surgery, 23(2): 140–144.

Song L, Zhang Z, 2021, Application of Uterine Compression Suture in Treating Postpartum Hemorrhage. China Rural Health, 13(21): 56–57.

Xu C, Hua K. Practical Gynecology. 4th edn. 2018, People’s Medical Publishing House, Beijing.

Zhang X, 2022, Effect of Uterine Compression Suture + Uterine Balloon Compression on the Effectiveness of Hemostasis After Cesarean Section in Pregnant Women with Central Placenta Previa. Jiangxi Medicine, 57(9): 1223–1225.

Fan W, 2021, Clinical Study on Uterine Compression Suture Combined with Ascending Uterine Artery Ligation in Treating Post-Cesarean Hemorrhage. Practical Clinical Integration of Traditional Chinese and Western Medicine, 21(24): 40–41 + 67.

Li Y, Feng Y, 2020, Research on the Clinical Application of Uterine Compression Sutures in Treating Postpartum Hemorrhage. Chinese and Foreign Women’s Health Research, 2020(7): 58 + 133.

Chen S, 2020, Application Effect of Uterine Compression Suture Combined with Ascending Uterine Artery Ligation in Cesarean Section in Women with Placenta Previa. Chinese Contemporary Medicine, 27(2): 124–126.

Zhong Y, Cao J, Duan F, et al., 2020, Comparison of the Clinical Efficacy of Two Uterine Compression Sutures in Treating Refractory Postpartum Hemorrhage. Chinese Family Planning and Obstetrics and Gynecology, 12(8): 59–61.

Yang S, Yang L, Feng A, 2019, The Application Effect of Simple Uterine Compression Suture in Women with Uterine Inertia Hemorrhage During Cesarean Section. Clinical Medical Research and Practice, 4(1): 124–125.

Chen W, Li Y, Ji Z, 2019, Comparison of the Clinical Effects of the Uterine Balloon, Gauze Packing, and Uterine Compression Suturing in Preventing and Treating Postpartum Hemorrhage. Chinese Contemporary Medicine, 26(35): 156–158 + 162.

Hong H, Hu Y, 2020, Research Progress on the Impact of Uterine Compression Suture Treatment on Bleeding Volume in Postpartum Hemorrhage. Chinese Medical Science, 10(14): 54–56 + 139.

Chen Y, 2020, Early Uterine Compression Suture Affects Hemostatic Effect and Complications in High-Risk Maternal Postpartum Hemorrhage Patients. Medical Equipment, 33(8): 61–62.