Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Oct 2010
Is there an increase of postpartum hemorrhage, and is severe hemorrhage associated with more frequent use of obstetric interventions?
To analyze changes in postpartum hemorrhage over a 10-year period from 1998 to 2007, and to explore factors associated with severe hemorrhage. ⋯ The incidence of severe postpartum hemorrhage increased, and this may be related to more frequent use of obstetric interventions.
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Acta Obstet Gynecol Scand · Oct 2010
New local hemostatic treatment for postpartum hemorrhage caused by placenta previa at cesarean section.
Cesarean section in women with placenta previa is associated with the risk of heavy bleeding. We describe a new method where local hemostasis is obtained by applying a hemostatic fleece directly onto the lower uterine segment. During a 2-year period women undergoing cesarean section due to placenta previa were treated with this hemostatic fleece if they had ongoing bleeding during the surgical procedure despite routine treatment. ⋯ No patients were readmitted to the hospital due to endometritis. We conclude that the application of a hemostatic fleece directly onto the bleeding surfaces in patients with post-cesarean bleeding due to placenta previa is technically unproblematic. The results suggest that this procedure should be considered in case of bleeding after delivery in women with placenta previa.