Advanced techniques in obstetrics: experience and three-year sequence in Naval medical center of Mexico City and general hospital of Temixco Morelos

Abstract

Obstetric hemorrhage is considered a public health problem, with an impact on morbidity and mortality, uterine atony is considered the main cause, there are treatment protocols that must include general measures of life support and other more specific ones such as: uterine massage, prophylactic use of uterotonic agents, active management of labor and volumetric replacement; There are patients who, even with uterotonic management, do not reverse uterine atony, who are candidates for the application of intrauterine compression techniques, if remission is not achieved, it is started with uterine compression sutures and arterial ligations, highlighting in the latter group the GALA hypogastric artery ligation technique, these surgical techniques become one of the most used maneuvers since it is easy and fast to perform and of course it is accessible whatever the center where it is practiced, constituting one of the pillars in the management intensive obstetric hemorrhage.