Abstract
IntroductionPostpartum hemorrhage is a serious complication of childbirth and is still the leading cause of maternal death worldwide. Lower uterine segment hemorrhage during cesarean section is an important cause of postpartum hemorrhage. Our objective is to expore the efficacy and safety of King’s combined uterine suture for hemostasis during cesarean section.MethodsWe examined 48 cases: 16 cases of pernicious placenta previa (including one case of twins), 11 cases of central placenta previa (including one case of twins), 18 cases of uterine scarring (including two cases of twins), as well as one case of twin pregnancy, two cases of breech presentation, and one case of pulmonary hypertension. The “King’s combined uterine suture” method for hemostasis was used in patients with lower uterine segment hemorrhage during cesarean section.ResultsThe results showed that all patients had successful hemostasis during surgery, and there were no cases of hysterectomy.ConclusionWe have concluded that King’s combined uterine suture is a fast and safe hemostasis method for cesarean section that can effectively reduce blood loss and restore the normal shape of the lower uterine segment. Furthermore, this suture method can reduce postpartum hemorrhage and hysterectomy rate, as well as improve maternal prognosis.
Highlights
Postpartum hemorrhage is a serious complication of childbirth and is still the leading cause of maternal death worldwide
Postpartum hemorrhage is a serious complication of childbirth and remains the leading cause of maternal deaths globally, with about 10 maternal deaths per hour due to postpartum hemorrhage
Research on postpartum hemorrhage is ongoing, and the postpartum hemorrhage guidelines (2016 edition) published by the Royal College of Obstetricians and Gynecologists (RCOG) [6] and the postpartum hemorrhage guidelines (2017 edition) published by the American College of Obstetricians and Gynecologists (ACOG) [7] both provide detailed descriptions for the prediction, prevention, and treatment of postpartum hemorrhage, as well as the corresponding measures to determine the etiology of postpartum hemorrhage
Summary
Postpartum hemorrhage is a serious complication of childbirth and is still the leading cause of maternal death worldwide. Lower uterine segment hemorrhage during cesarean section is an important cause of postpartum hemorrhage. Our objective is to expore the efficacy and safety of King’s combined uterine suture for hemostasis during cesarean section. Most pregnancy-related deaths are preventable, including postpartum hemorrhage [5]. Xia et al BMC Pregnancy and Childbirth (2021) 21:762 use of uterotonic medications, bimanual massage of the uterus, and other treatments. If these treatments are ineffective, other treatments, such as uterine packing, uterine artery embolization, uterine artery ligation, uterine compression suture, and even hysterectomy, should be applied in a timely manner
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