Bimanual Uterine Compression as a Major Technique in Controlling Severe Postpartum Hemorrhage from Uterine Atony
EKACHAI KOV A VIS ARCH, M.D.*, SANCHAI KOSOLKITTIWONG, M.D.**
Affiliation : * Division of Perinatology, Department of Obstetrics and Gynecology, Rajavithi Hospital, MOPH, Bangkok 10400, Thailand. ** Private Clinic.
Abstract A 27-year old woman, primigravida, 33 weeks' gestation, presented with complaints of labor pain and absent fetal movement. A dead fetus in utero, abruptio placentae, and labor pain were diagnosed. Severe postpartum hemorrhage from uterine atony and disseminated intravascular cogulopathy was noted after spontaneous delivery of the baby and placenta. Bimanual uterine com- pression for 40 minutes was performed as a major procedure accompanied by uterotonic drugs, correction of hypovolemic shock and coagulopathy by crytalloid, blood, fresh frozen plasma. The patient had no complications when seen at 6 weeks' postpartum follow-up.
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