Uterus Wrapping: A Novel Concept in the Management of Uterine Atony during Cesarean Delivery

Uterine atony during cesarean delivery is a serious cause of maternal morbidity and mortality. Management strategies include medical treatment with uterotonic agents, manual compression of the uterus, and interventional or surgical procedures. A novel technique to compress the uterus by wrapping it...

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Main Authors: N. Kimmich, W. Engel, M. Kreft, R. Zimmermann
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2015/195696
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author N. Kimmich
W. Engel
M. Kreft
R. Zimmermann
author_facet N. Kimmich
W. Engel
M. Kreft
R. Zimmermann
author_sort N. Kimmich
collection DOAJ
description Uterine atony during cesarean delivery is a serious cause of maternal morbidity and mortality. Management strategies include medical treatment with uterotonic agents, manual compression of the uterus, and interventional or surgical procedures. A novel technique to compress the uterus by wrapping it with an elastic bandage and its outcome in 3 cases of uterine atony during cesarean section are presented. Our novel method of intermittent wrapping of the uterus during cesarean delivery seems to be a successful additional approach in the management of uterine atony during cesarean delivery and may be an alternative treatment option to other compressing procedures in order to avoid high blood loss and last but not least postpartum hysterectomy.
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publishDate 2015-01-01
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-7c129428e4334d0399a62b3cb37aac952025-08-20T02:06:54ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/195696195696Uterus Wrapping: A Novel Concept in the Management of Uterine Atony during Cesarean DeliveryN. Kimmich0W. Engel1M. Kreft2R. Zimmermann3Division of Obstetrics, University Hospital of Zurich, Frauenklinikstrasse 10, 8006 Zurich, SwitzerlandDivision of Obstetrics, University Hospital of Zurich, Frauenklinikstrasse 10, 8006 Zurich, SwitzerlandDivision of Obstetrics, University Hospital of Zurich, Frauenklinikstrasse 10, 8006 Zurich, SwitzerlandDivision of Obstetrics, University Hospital of Zurich, Frauenklinikstrasse 10, 8006 Zurich, SwitzerlandUterine atony during cesarean delivery is a serious cause of maternal morbidity and mortality. Management strategies include medical treatment with uterotonic agents, manual compression of the uterus, and interventional or surgical procedures. A novel technique to compress the uterus by wrapping it with an elastic bandage and its outcome in 3 cases of uterine atony during cesarean section are presented. Our novel method of intermittent wrapping of the uterus during cesarean delivery seems to be a successful additional approach in the management of uterine atony during cesarean delivery and may be an alternative treatment option to other compressing procedures in order to avoid high blood loss and last but not least postpartum hysterectomy.http://dx.doi.org/10.1155/2015/195696
spellingShingle N. Kimmich
W. Engel
M. Kreft
R. Zimmermann
Uterus Wrapping: A Novel Concept in the Management of Uterine Atony during Cesarean Delivery
Case Reports in Obstetrics and Gynecology
title Uterus Wrapping: A Novel Concept in the Management of Uterine Atony during Cesarean Delivery
title_full Uterus Wrapping: A Novel Concept in the Management of Uterine Atony during Cesarean Delivery
title_fullStr Uterus Wrapping: A Novel Concept in the Management of Uterine Atony during Cesarean Delivery
title_full_unstemmed Uterus Wrapping: A Novel Concept in the Management of Uterine Atony during Cesarean Delivery
title_short Uterus Wrapping: A Novel Concept in the Management of Uterine Atony during Cesarean Delivery
title_sort uterus wrapping a novel concept in the management of uterine atony during cesarean delivery
url http://dx.doi.org/10.1155/2015/195696
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AT mkreft uteruswrappinganovelconceptinthemanagementofuterineatonyduringcesareandelivery
AT rzimmermann uteruswrappinganovelconceptinthemanagementofuterineatonyduringcesareandelivery