Modified Pereira Suture as an Effective Option to Treat Postpartum Hemorrhage due to Uterine Atony

Autor: Maria Lúcia Moleiro, Luís Guedes-Martins, Alexandrina Mendes, Cláudia Marques, Jorge Braga
Jazyk: English<br />Portuguese
Rok vydání: 2018
Předmět:
Zdroj: Revista Brasileira de Ginecologia e Obstetrícia, Vol 40, Iss 2, Pp 92-95 (2018)
Druh dokumentu: article
ISSN: 0100-7203
DOI: 10.1055/s-0037-1613690
Popis: Abstract Nowadays, postpartum hemorrhage is the major cause of maternal mortality and morbidity worldwide. Uterine atony is its main cause; thus, prophylactic measures, as well as medical and surgical fast approaches, have been developed to manage it. The uterine compression sutures are a possible treatment that preserves the uterus and, consequently, the fertility potential. Bearing that in mind, we report two cases of postpartum hemorrhage after caesarean section, successfully treated with a new modification of Pereira suture - longitudinal and transverse uterine sutures were applied after no response was registered to the first-line therapies. Both women recovered, and the postpartum evaluation revealed a normal uterus with an adequate blood supply, suggesting potential fertility, as described in the literature regarding this kind of therapeutic approach.
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