Postpartum hemorrhage: use of hemostatic combat gauze

Cheap and simple interventions that are intended to minimize postpartum hemorrhage are of major public health concern. We report a case of postpartum hemorrhage in which conservative interventions had failed. The use of a chitosan-covered gauze that originally was developed for combat trauma allowed...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2012, Vol.206 (1), p.e12-e13
Main Authors: Schmid, Bernd C., MD, Rezniczek, Günther A., PhD, Rolf, Norbert, MD, Maul, Holger, MD
Format: Article
Language:English
Subjects:
Adult
Bandages
Cesarean Section - adverse effects
chitosan
Chitosan - therapeutic use
Dinoprostone - analogs & derivatives
Dinoprostone - therapeutic use
Female
Hemostasis, Surgical - methods
Hemostatics - therapeutic use
Humans
Obstetrics and Gynecology
Oxytocin - therapeutic use
postpartum hemorrhage
Postpartum Hemorrhage - therapy
Pregnancy
Sutures
uterovaginal packing
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Summary:Cheap and simple interventions that are intended to minimize postpartum hemorrhage are of major public health concern. We report a case of postpartum hemorrhage in which conservative interventions had failed. The use of a chitosan-covered gauze that originally was developed for combat trauma allowed us to achieve hemostasis, and a seemingly inevitable hysterectomy was avoided.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2011.09.018