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    Default Procedure to stop PPH?

    Long overdue question. When a woman has a severe PPH and is rushed to theatre what is the procedure they actually do to stop the bleeding? I never actually asked when this happened to me.

    I had a spinal block and I assume they then cleared out any remaining placenta from my uterus. What is this procedure actually called?

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    Its an examination under anaesthesisa.

    They have a good look at what's causing the bleeding - tears in vagina or cervix and see if there's any retained placenta and membranes that are remaining in the uterus. If the uterus still won't contract then they can insert a balloon into your uterus to stop the bleeding, but I'm guessing they didn't because you'd probably know if they did. Probably also gave you a few extra drugs to help contract the uterus that didn't have a chance to in birth suite

    There's also other surgical procedures that they can do through a laparotomy incision in your abdomen, but that definitely didn't happen to you by the sounds of it.

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    There are many things they can do in theatre for severe PPH
    i. Balloon tamponade. using a Foley catheter, Bakri balloon, Rusch balloon or Sengstaken-Blackmore oesophageal catheter ii. Haemostatic brace suturing (such as the B-Lynch suture).
    iii. Bilateral ligation of uterine arteries.
    iv. Bilateral ligation of internal iliac arteries.
    v. Selective arterial embolisation. vi. Hysterectomy.

    from Royal College of OBGYN australia
    http://www.google.com.au/url?sa=t&rc...57967247,d.aGc


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    Quote Originally Posted by elle77 View Post
    There are many things they can do in theatre for severe PPH
    i. Balloon tamponade. using a Foley catheter, Bakri balloon, Rusch balloon or Sengstaken-Blackmore oesophageal catheter ii. Haemostatic brace suturing (such as the B-Lynch suture).
    iii. Bilateral ligation of uterine arteries.
    iv. Bilateral ligation of internal iliac arteries.
    v. Selective arterial embolisation. vi. Hysterectomy.

    from Royal College of OBGYN australia
    http://www.google.com.au/url?sa=t&rc...57967247,d.aGc

    none of which happened to OP. They just a had a look to see what the bleeding was, doing do any actual "surgery".

    The above are major major if we don't do this you will die interventions, which would have been completely debriefed to OP if they had occurred.


 

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