Published: Dec 27, 2021
  
 
     
 
Keywords:
postpartum hemorrhage cervical tear lower uterine segment bleeding lower uterine segment compression maneuver
  
     
 
   
 
 
 
 
 
 
 
 
 
 
 

 

 
   
 
 
 
    Language
  
      English  
      ภาษาไทย  
 
 
    Information
  
      For Readers  
      For Authors  
      For Librarians  
 
 
    Home ThaiJo
  
   
 
 
 
    Manual
  
      For Author  
      For Reviewer  
 
 
   Author Guidelines
  
      Author Guidelines  
       
 
 
    เว็บไซต์
  
      โรงพยาบาล
    เจริญกรุงประชารักษ์		  
      www.ckphosp.go.th  
 
 

 

 
     
    Home / Archives / Vol. 17 No.2 (2564) : July - December 2021 / Academic Article  
 
   

Therelationshipbetween cervical tear,lower uterine segment bleeding andlower uterine segment compression maneuver in pregnant women with primary postpartum hemorrhage
   
 
   
   
     
 
Wanchai Chantrapitak
Sawittri Suwikrom
Veerapol khemarangsan
Niphan Boonyoung
Renu Wattanaluangarun

Abstract

Introduction: Postpartum hemorrhage (PPH) is a major cause of maternal mortality after delivery. Albeit rare, cervical tear or laceration contribute to PPH and could prove fatal. In some of those cases, PPH might not be solely attributed by cervical tear but also lower uterine segment bleeding. As a result, treating the latter might prove beneficial.


Objectives: To study the relationship between cervical tear bleeding, lower uterine segment bleeding, and lower uterine segment compression maneuver (LUSC)


Materials and Methods: This is a literature review covering theprevalenceof cervical tear as well as its consequences together with the prevalence of PPH in CharoenkrungPracharak Hospital’s labor room. We compare the incidence of cervical tear and its complications between mothers who underwent normal delivery alone and those who underwent normal delivery together with lower uterine segment compression. The study consisted of two phases: 2014-2017 (4 years) and 1994-2013 (20 years).


Conclusions: Lower uterine segment bleeding may play a role in cervical tear bleeding and may be the reason why Cho’s compression suture is effective in treating cervical tear. This study also found that lower uterine segment compression maneuver reduced the incidence of cervical tear bleeding via mechanisms similar to that of Cho’s compression suture. Since LUSC is a non-invasive procedure, it can be used in place of Cho’s compression suture to minimalize the surgery, the subsequent pain, and the complications from cervical tear.

  
     
     
 
    How to Cite  
     
  Chantrapitak, W., Suwikrom, S., khemarangsan, V., Boonyoung, N., & Wattanaluangarun, R. (2021). Therelationshipbetween cervical tear,lower uterine segment bleeding andlower uterine segment compression maneuver in pregnant women with primary postpartum hemorrhage . Journal of Charoenkrung Pracharak Hospital, 17(2), 10–21. Retrieved from https://he02.tci-thaijo.org/index.php/JCP/article/view/251603  
     

 
 
     
     
 
    Issue  
     
  Vol.17  No.2 (2564): July - December 2021  

 
 
     
     
 
    Section  
     
  Academic  article  

 
 
     
     
     
 

References

Cunnigham FG, Levenc KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al.editors.Williams obstetrics.

thed.New York: McGraw-Hill; 2018. p.1674.

Anderson J, Etches D. Prevention and management of postpartum hemorrhage. Am Fam Physician 2007;75:-82.

American C. ACOG practice bulletin: clinical management guidelines for obstetrician-gynecologists number

, October 2006: postpartum hemorrhage. ObstetGynecol 2006;108:1039-47.

Chantrapitak W, Anansakunwat W, Suwikrom S, Wattanaluangarun R. The correlation of lower uterine

segment atony after delivery with atonic postpartum hemorrhage.Journal of CharoenkrungPracharak

Hospital 2019;115:1-13.

Khasklsli M, Baloch S, Baloch AS. Obstetrical trauma to the genital tract following vaginal delivery. J Coll

Physicians Surg Pak 2012; 22: 95-7.

Wetta LA, Szychowski JM, Seals S, Mancuso MS, Biggio JR, Tita ATN. Risk factor for uterine atony

postpartum hemorrhage requiring treatment after vaginal delivery. Am J obstetgynecol 2013; 209: 51e1-6.

Committee on Practice Bulletins-Obstetrics. Postpartum hemorrhage. ACOG practice bulletin. No 183; 2017.

Parikh R, Brotzman S, Anasti JN. Cervical laceration: some surprising fact. Am JObstetGynecol 2007; 196:- 8.

Cunningham FG. Obstetrical hermarrhag.In: Cunningham FG, Gant NF,Leveno KJ, Gilstrap III LC,

HauthJC,Wenstrom KD, editors. Williams obstetrics. 21sted. New York:McGraw-Hill; 2001. p. 644 - 5.

Cunnigham FG, Levenc KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al. editors. Williams

obstetrics. 25thed. New York: McGraw-Hill; 2018. p.1687.

Campbell P, Fogartypcervical tears.WorldclinObstetGynecol 2012; 2: 199 - 206.

Albayrak M, Ozdemir I, Koc O, Demiraran Y. Post-partum hemorrhage from the lower uterine segment

secondary to placenta previa/ accreta: successful conservative management with foley balloon tamponade.

Aust N Z J ObstetGynaecol 2011; 51: 377-80.

Yuksel H. A novel approach to primary lower uterine segment atony. Taiwan JObstetGynecol 2015; 54:-4.

Panda B, Laifer S, Stiller R, Kleinman G. Primary atony of the lower uterine segment as a distinct cause of

early postpartum hemorrhage: a case series and management recommendations. JObstetGynaecol 2009; 29:-32.

Kaya B, Tuten A, Daglar K, Misirlioglu M, Polat M, Yildirim Y, etal. Ballontampanade for the management

of postpartum uterine hemorrhage. J Perinat Med 2014; 42: 745-53.

Chantrapitak W, Srijanteok K, Puangsa-art S. Lower uterine segment compression for management of early

postpartum hemorrhage after vaginal delivery at CharoenkrungPracharak Hospital. J Med Assoc Thai 2009;

: 600-5.

Chantrapitak W, Srijuntuk K, Wattanaluangarun R. The efficacy of lower uterine segment compression for

prevention of early postpartum hemorrhage after vaginal delivery. J Med Assoc Thai2011; 94:649-56.

Anansakunwat W, lamurairat W, Boonyoung P.Lower uterine segment compression for 20 minutes to

prevent early postpartum hemorrhage. J Med Assoc Thai 2018; 101: 1151-6.

Chantrapitak, W, Anansakunwat W, Suwikrom S, Wattanaluangarun R, Puangesa-art S. Postpartum

hemorrhage outcome in lower uterine segment compression maneuver: A 20-Year Experience in

CharoenkrungPracharak Hospital. J Med Assoc Thai 2018; 101: 495-500.

Alves ALL, Francisco AA, Osanan GC, Vieira LB. Postpartum hemorrhage:prevention, diagnosis and non-

surgical management. RBOG Gynecology & obstetrics 2020; 42: 776-84.

Matsubara S, Yano H, Ohkichi A, Kuwata T, Usui R, Suzuki M. Uterine compression sutures for postpartum

hemorrhage: an overview. Acta ObstetGynecolScand2013; 92: 378-85.