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BMC Pregnancy and Childbirth

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Open Access 01-12-2021 | Pregnancy Cholestasis | Research article

The new clinical application of bilateral-contralateral cervix clamp in postpartum hemorrhage: a retrospective cohort study

Authors: Qianwen Zhang, Tao Li, Yu Xu, Yayi Hu

Published in: BMC Pregnancy and Childbirth | Issue 1/2021

Abstract

Background

To assess the efficacy and safety of bilateral-contralateral cervix clamp firstly applied in postpartum hemorrhage caused by uterine tony of lower segment.

Methods

Totally 47 pregnant women with postpartum hemorrhage secondary to lower uterine segment atony in vaginal delivery or after caesarean delivery were included from March 1, 2020 to May 31, 2020. According to patient’s informed consent, 22 women accepted cervical clamp to treat and 25 only used uterotonics in control group.

Then hemostatic efficacy and safety of bilateral-contralateral cervix clamp were assessed by retrospective analysis.

Results

It was found that mean blood loss in clamp group was much less during vaginal delivery (656.2±72.79 g vs 811.8±86.07 g, p = 0.001) or after caesarean delivery (42.8±6.60 g vs 126.3±86.97 g, p = 0.007), and incidence of uterotonic repeated usage (81.8% vs 36, 18.2% vs 64%, p = 0.001) or side effect (18.2% vs 48.0%, p = 0.031) appeared less than control group, but there was no statistical differences on hospital stay (4.1±1.57 days vs 3.8±1.61 days, p = 0.535), hemoglobin (119±4.10 g vs 121.4±4.19 g, p = 0.058), blood transfusion (9.1% vs 12%,p = 0.746), surgical procedures (4.5% vs 4.0%, p = 0.93), also no clamp complications occurred.

Conclusions

The bilateral-contralateral cervix clamp was effective and safe, this new technique could be a complementary treatment for postpartum hemorrhage.

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Title: The new clinical application of bilateral-contralateral cervix clamp in postpartum hemorrhage: a retrospective cohort study
Authors: Qianwen Zhang
Tao Li
Yu Xu
Yayi Hu
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: Pregnancy Cholestasis
Published in: BMC Pregnancy and Childbirth / Issue 1/2021
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/s12884-020-03518-2

2024 ASCO Annual Meeting

Springer Medicine

The new clinical application of bilateral-contralateral cervix clamp in postpartum hemorrhage: a retrospective cohort study

Abstract

Background

Methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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