Bimanual uterine compression indication

u Manually compress of uterus u Blood examination for typing and cross-. matching u Begin fluid or blood replacement u Carefully explore the uterine cavity u Completely inspect the cervix and vagina u Insert a second I/V catheter for. administration of blood or fluids. CCH MANAGEMENT Uterine massage and or bimanual uterine compression. Advantages of bimanual uterine compression : Prevents increase in radius of the uterus Uterus is pushed cephalad Uterine arteries under tension Reduces blood flow Beri tahu pasien untuk memassage uterusnya. clockwise direction • Bimanual Uterine compression Bimanual compression,with one hand (made into a fist) in the vagina and the other compressing the 17. Indications • Atonic PPH • Placenta previa • Abnormal placentation such as Placenta accreta , increta or percreta • Coagulopathy PPh Uterine artery embolization (UAE) is a technique used by interventional radiology specialists. It was introduced several decades ago for the treatment of massive uterine hemorrhages due to various causes. KEYWORDS: Uterine compression; Postpartum hemorrhage; Hayman suture; Cesarean section; Hysterectomy. Posteriormente, se procedio al masaje uterino bimanual con la ad-ministracion simultanea intravenosa de 20 UI de oxitocina en 500 mL de solucion glucosada a 125 mL/h The bimanual examination (also known as pelvic examination) is an examination of the female genital organs. Bimanual Examination. Use lubricating gel to lubricate the right index finger and middle finger. Ensure the patient is still happy to proceed, and gently insert fingers into the vagina. Indications are as follows: Retained placenta after vaginal delivery (postpartum). Also, hyperflexion of the knee can cause compression of the peroneal nerve, resulting in foot drop. In cases of refractory bleeding and uterine atony, bimanual uterine massage can be used, as well as several Following the Mansoura-VV uterine compression sutures, uterine bleeding was controlled in all except Then, bimanual compression of the uterus was attempted for 10 to 15 min until the tone of the uterus is The indications of CS were multiple pregnancy (24 cases), fetal macrosomia (17 Apply bimanual uterine compression Ifheavypostpartum bleeding persists despite uterine massage, oxytocin/ergometrine treatment and removalofplacenta: n two hands. n Continue compression until bleeding stops (no bleeding if the compression is released). n Ifbleedingpersists, applyaortic The technique is comparable to bimanual uterine compression and was used in fivewomen, two of Steps of the modified b lynch. Before doing the suture a compression test done to evaluate the Although uterine atony is the indication for use of modified B-Lynch suture, but it has been shown in A. If uterine atony is suspected : • Bimanual uterine massage • Empty the bladder • Insert 2 large bore I.V 1. The most common indication for emergency procedures in severe uterine haemorrhage that cannot • The indication for induction must be documented in the notes after confirming the date. uterine massage, bimanual compression, and uterotonic drugs (15). Maternal trauma is indicated by lacerations, expanding hematomas, or uterine rupture. Retention of placental tissue can be readily diagnosed with manual examination or bedside ultrasonography of the uterine cavity and is A. If uterine atony is suspected : • Bimanual uterine massage • Empty the bladder • Insert 2 large bore I.V 1. The most common indication for emergency procedures in severe uterine haemorrhage that cannot • The indication for induction must be documented in the notes after confirming the date. uterine massage, bimanual compression, and uterotonic drugs (15). Maternal trauma is indicated by lacerations, expanding hematomas, or uterine rupture. Retention of placental tissue can be readily diagnosed with manual examination or bedside ultrasonography of the uterine cavity and is (b) Should bimanual uterine compression be offered in the treatment of PPH? Remark The Consultation noted that health care workers would need to be appropriately trained in the application of bimanual uterine compression and that the procedure may be painful. o Consider applying bimanual compression until uterine tone returns o Monitor to ensure there is no reoccurrence. Consult a pharmacopeia for full details of indications, cautions, contraindications and interactions. Drug/Product Tranexamic acid Oxytocin.