Bimanual uterine compression indication

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 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 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 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. 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. 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. 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 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 Keywords: Postpartum haemorrhage, Uterine evacuation, Bimanual clot evacuation. Bimanual clot evacuation (BCE) may be a viable surgical intervention. BCE involves 'cupping' the fundus of the Surgical interventions for PPH include uterine cavity tamponade, compression su-tures, uterine or 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. 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. (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. 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