• Diego Portilla, Cristian Hernández-Giraldo, Bernardo Moreno, Fabio Quijano, Luis R Hoyos, Ana Milena Angarita, and Santiago Madero.
• Gynecology, Obstetrics and Human Reproduction Department, Fundación Santa Fe de Bogotá Teaching Hospital, Bogotá, Colombia. neodifepo@gmail.com
• Arch. Gynecol. Obstet. 2013 Sep 1; 288 (3): 543-9.

PurposeTo describe the use of a local hemostatic agent (LHA) for the management of postpartum hemorrhage (PPH) due to bleeding of the placental bed in patients taken to caesarean section at Fundación Santa Fe de Bogotá University Hospital.SampleA total of 41 pregnant women who had a caesarean section and developed PPH.MethodsA cross-sectional study. Analysis of all cases of PPH during caesarean section presented from 2006 up to and including 2012 at Fundación Santa Fe de Bogotá University Hospital.Main Outcome MeasureEmergency hysterectomy due to PPH.ResultsThe proportion of hysterectomies was 5 vs. 66 % for the group that received and did not receive management with a LHA respectively (PR 0.07, CI 95 % 0.01-0.51 p < 0.01). For the group managed without a LHA, 80 % of patients needed hemoderivatives transfusion vs. 20 % of patients in the group managed with a LHA (PR 0.24, CI 95 % 0.1-0.6 p < 0.01). A reduction in the mean days of hospitalization in addition to a descent in the proportion of patients admitted to the intensive care unit (ICU) was noticed when comparing the group that received a LHA versus the one that did not.ConclusionAn inverse association between the use of a LHA in patients with PPH due to bleeding of the placental bed and the need to perform an emergency obstetric hysterectomy was observed. Additionally there was a significant reduction in the mean duration of hospital stay, use of hemoderivatives and admission to the ICU.

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