PostPartum HemorrHage is tHe leaDing Cause oF maternal DeatH WorlDWiDe More than half a million women die every year of complications related to pregnancy or childbirth. Postpartum hemorrhage (PPH)— unchecked uterine bleeding occurring after childbirth—is the leading cause of maternal deaths worldwide. PPH usually occurs unexpectedly and can lead to death in under two hours if untreated. In man...

Purpose: To retrospectively review uteroovarian anastomosis (UOA) visualization during uterine artery embolization (UAE) in patients with or without uterine fibroids (UFs). Material and Methods: 43 patients underwent UAE for uterine fibroids (n = 23) and gynecological hemorrhage (n = 20). The frequency of angiographic visualization of UOAs was compared between the two groups and analyzed by the...

Acute blood loss in the postpartum period is the primary cause of maternal death worldwide [1] and postpartum hemorrhage complicates 4-6% of births [2]. In most cases of postpartum hemorrhage, bleeding from the genital tract is the source of the blood loss. Uterine atony accounts for 80% of postpartum hemorrhage [2] and genital tract injury, uterine inversion or rupture, genital tract or retrop...

Histogenesis of uterine leiomyosarcoma has been controversial. It is generally believed that uterine leiomyosarcomas arise de novo, rather than from any precursor lesions. We report an unusual case of spontaneous rupture of leiomyosarcoma arising in pre-existing calcified uterine leiomyoma, which has been monitored over the years after menopause. This case also suggests that spontaneous intrape...

INTRODUCTION Postpartum hemorrhage is an obstetric emergency that accounts for 25% of maternal deaths worldwide. Initial management consists of uterotonic administration but in cases in which there is a failure of response to medication, uterine cavity tamponade can be effective. This is the first reported case of successful Bakri balloon placement in the management of postpartum hemorrhage at ...

Topical hemostatic agents are utilized as adjuncts to control intraoperative bleeding when standard surgical techniques (such as suturing, ligature, cautery, or pressure) are insufficient or impractical to implement1. Intraoperative scenarios where topical hemostatic agents may serve as adjuncts include bleeding near vital organs or nerves, at needle-holes, from raw surface areas, in friable or...

While uterine balloon tamponade is an effective modality for control of postpartum hemorrhage, the reported success rates have ranged from the level of 60% to the level of 80%. In unsuccessful cases, more invasive interventions are needed, including hysterectomy as a last resort. We developed a modified tamponade method and applied it to two cases of refractory postpartum hemorrhage after vagin...

Uterine necrosis is one of the rarest complications following pelvic arterial embolization for postpartum hemorrhage (PPH). With the increasing incidence of cesarean section and abnormal placental localization (placenta previa) or placental invasion (placenta accreta/increta/percreta), more and more cases of uterine necrosis after embolization are being diagnosed and reported. Pelvic computed t...

This research aims to investigate nifedipine and low molecular weight heparin clinical efficacy in cure patients with hypertension during pregnancy. A retrospective analysis of 180 pregnancy admitted the obstetric ward our hospital from December 2017 2020 was selected. Among them, 90 were treated combined (observation group). Nifedipine used treat pregnancy-induced (control Contrast blood press...