Search In this Thesis
   Search In this Thesis  
العنوان
Factors predict Success of Intrauterine Tamponade in cases developed post partum hemorrhage /
المؤلف
Rewedy, Ramy Abd El-rahman Rabea.
هيئة الاعداد
باحث / رامي عبدالرحمن ربيع رويدي
مشرف / حسام الدين شوقي عبدالله
مشرف / أحمد سمير عبدالمالك
مشرف / ريهام رفعت طه
الموضوع
Obstetrical emergencies. Pregnancy Complications. Uterine hemorrhage.
تاريخ النشر
2018.
عدد الصفحات
97 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
1/1/2018
مكان الإجازة
جامعة المنيا - كلية الطب - أمراض النساء و التوليد
الفهرس
Only 14 pages are availabe for public view

from 107

from 107

Abstract

Primary PPH is defined as excessive bleeding that occurs in the first 24 hours after delivery. Traditionally the definition of PPH has been blood loss in excess of 500 mL after vaginal delivery and in excess of 1000 mL after abdominal delivery.
Uterine balloon tamponade has been added to the treatment modalities of PPH. Different balloons have been used , such as simple condom, Sengstaken-Blakemore tube, and Foley, Rusch or Bakri catheters.(Georgiou et al., 2009)
The aim of our study was to evaluate the predictive factors for success of uterine balloon tamponade in managements of post-partum hemorrhage.
The current study was cross section ,observative study that was conducted prospectively inculded total of 77 cases women had a balloon tamponade insertion as 71 cases with Bakri balloon insertion &other 6 cases with foley catheter insertion. This study was conducted from period between 1st of Jun 2017 to 1stof Jun 2018, at the labor ward of the department of Obstetrics & Gynecology, Maternity Hospital Minia University .
All patient were assessted with detailed history ,examinations &investigations.
Based on our finding ,the following results were summarized as follows :
Total of 27 women (35.1%) delivered their first child, and 50 (64.9%) were multipara, (28% )of them with history of previous cesarean section or more &(72%) with history of spontaneous vaginal delivery. history of PPH was noticed in (8%) of cases .
Most of cases were full term , with percentage (79.2%) , only 20.8% were preterm (31-37) , no cases were recorded below 31 week. Multiple perganency account (11.7%) of all cases , singleton account (59%) as viable (76.6%) or dead(11.7%).
Most of cases delivered by spontaneous vaginal delivery 45% , induction 18.2% ,while cases delivered by C.S (20.8%),(75%)of them were emergency CS while other(25%) were elective CS. VBAC only 2%.
Averge amount of blood loss was (1000-1500) in (51.9%) of cases with success rate of (95%).Cases of less than 1000 ml blood loss were (18.2%) with success rate 100% while cases with blood loss more than 1500 ml (18.2%) also with success rate (71.4%), only (11.7%) the amount of blood loss can`t be estimated as developed PPH out side the hospital but with success rate (100%).
Most of cases developed PPH due to uterine atony only (72.8%) while (27.2%) developed PPHdue to traumatic as well as atonic PPH.
placenta was normal in (85.7%), while (14.3%) was abnormal as placenta previa(6.5%) or abruptio placenta (7.8%).