Effectiveness of Hayman’s Compressive Suture in the Management of Postpartum Hemorrhage

Volume 3 - Issue 4

Franklin José Espitia De La Hoz*¹, Diana Marcela Echeverri Muñoz², Johny Alexander Enríquez Mogollón³ and Gloria Stefany Fernández Cabrera²

Received:July 11, 2019;   Published: July 22, 2019

DOI: 10.32474/IGWHC.2018.03.000166

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Abstract

Objective: To evaluate the effectiveness of Hayman’s compressive sutures, as a conservative treatment, in the control of postpartum hemorrhage (PPH).

Materials and methods: An observational, retrospective, cross-sectional and descriptive study was carried out, the clinical records were reviewed, and all the patients who had been subject to Hayman’s compressive sutures, due to postpartum hemorrhage resistant to pharmacological treatment were analyzed. The women received care between January 2009 and December 2018 in a third level private institution in Armenia (Quindío, Colombia). Women who suffered postpartum obstetric hemorrhage (vaginal and cesarean section), who did not respond to pharmacological management in the first 6 hours of puerperium were included. Women whose deliveries did not take place in the clinic, with a dead fetus or who did not have data on the selected variables were excluded. For data analysis, percentage frequencies, mean, median, ranges and averages ± standard deviation were used. The processing and analysis of the data was done with the statistical package SPSS version 22.0.

Results: The mean age of the participants was 24.31 ± 5.76 years. Of 17724 deliveries, 10701 (60.37%) were by caesarean section. There were 687 (3.87%) cases of postpartum obstetric hemorrhage (cesarean section: 61.57% and delivery: 38.42%). The main cause was uterine atony (78.16%). Of the 687 women with postpartum obstetric hemorrhage, this was resolved with medical management in 72.92%. Compressive hemostatic suture was indicated in 13.24% (n = 91/687) of the cases, of which 86.81% (n = 79/91) responded satisfactorily. The average surgical time was 4.96 ± 1.03 minutes (range between 3 and 8). No complications derived from the procedure were documented.

Conclusion: Hayman’s hemostatic compressive sutures are an adequate conservative option, in the presence of postpartum hemorrhage refractory to pharmacological treatment, demonstrating its therapeutic effectiveness with admirable results.

Abstract| Introduction| Materials and Methods| Results| Discussion| Conclusion| Acknowledgement| References|