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- Title
'Nausicaa' compression suture: a simple and effective alternative to hysterectomy in placenta accreta spectrum and other causes of severe postpartum haemorrhage.
- Authors
Shih, J‐C; Liu, K‐L; Kang, J; Yang, J‐H; Lin, M‐W; Yu, C‐U; Shih, J-C; Liu, K-L; Yang, J-H; Lin, M-W; Yu, C-U
- Abstract
Postpartum haemorrhage (PPH), especially resulting from placenta accreta spectrum (PAS), has become a worldwide concern in maternity care. We describe a novel method of uterine compression sutures (the 'Nausicaa' technique) as an alternative to hysterectomy for patients who have suffered from major PPH. We applied this technique in 68 patients with major PPH during caesarean section (including 43 patients with PAS, 20 patients with placenta praevia totalis, and five patients with uterine atony), and none of these patients required further hysterectomy. We conclude that our Nausicaa suture is a simple and feasible alternative to hysterectomy in patients suffering from major PPH.
- Subjects
SUTURES; HEMORRHAGE; HYSTERECTOMY; CESAREAN section; PLACENTA praevia; HEMORRHAGE treatment; LABOR complications (Obstetrics); MASSAGE therapy; OXYTOCIN; PLACENTA diseases; PUERPERAL disorders; RESEARCH funding; SUTURING; UTERINE contraction; TREATMENT effectiveness; SEVERITY of illness index; MISOPROSTOL; OXYTOCICS
- Publication
BJOG: An International Journal of Obstetrics & Gynaecology, 2019, Vol 126, Issue 3, p412
- ISSN
1470-0328
- Publication type
journal article
- DOI
10.1111/1471-0528.15410