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Metha Songthamwat - One of the best experts on this subject based on the ideXlab platform.

  • Uterine flexion suture: modified B-Lynch uterine compression suture for the treatment of uterine Atony during cesarean section.
    International journal of women's health, 2018
    Co-Authors: Srisuda Songthamwat, Metha Songthamwat
    Abstract:

    Objective The aim of this study was to report our clinical experience of applying a uterine flexion suture, which was modified from the B-Lynch uterine compression suture, for treating uterine Atony during cesarean section. Materials and methods This is a retrospective descriptive study describing the use of a new technique, uterine flexion suture, for treating uterine Atony during cesarean section. The study period was from January 2009 to December 2017 at Udonthani Hospital, Udonthani, Thailand. Uterine Atony during cesarean section was treated by manual compression, intravenous oxytocin, methylergonovine maleate, and prostaglandins and then was observed for 10-15 minutes before applying a uterine flexion suture in the failed medical treatment cases. The patients were observed for vaginal bleeding, hematometra, and infection after operation. Uterine ultrasound scan results on days 1, 7, and 30 postoperation were also reviewed. Results Fifty-seven patients with uterine Atony during cesarean delivery received the uterine flexion suture. The mean age of patients was 27.0 (15-44 years). Thirty-four patients were primipara. The indications for cesarean section were cephalopelvic disproportion in 27 (47.4%) cases, and previous cesarean section in 11 (19.3%) cases. Neither postoperative excessive bleeding nor hysterectomy was observed. There was no hematometra or serious postoperative complication after surgery. The estimated time for uterine flexion suture is only 2-3 minutes and was very easy to perform. Conclusion Uterine flexion suture technique, which was modified from the B-Lynch suture, was inexpensive, quick, and effective in the treatment of atonic postpartum uterus in women undergoing cesarean section.

Andra H. James - One of the best experts on this subject based on the ideXlab platform.

  • oxytocin exposure during labor among women with postpartum hemorrhage secondary to uterine Atony
    American Journal of Obstetrics and Gynecology, 2011
    Co-Authors: Chad A. Grotegut, Lauren N C Johnson, Betty Thames, Michael J Paglia, Andra H. James
    Abstract:

    Objective We sought to determine if women with severe postpartum hemorrhage (PPH) secondary to uterine Atony received greater amounts of oxytocin during labor compared to women without PPH. Study Design Subjects with severe PPH secondary to uterine Atony, who received a blood transfusion, were compared to matched controls. Total oxytocin exposure was calculated as the area under the concentration curve (mU/min*min). Variables were compared using paired t test, χ 2 , and logistic regression. Results Women with severe PPH had a mean oxytocin area under the curve of 10,054 mU compared to 3762 mU in controls ( P Conclusion Women with severe PPH secondary to uterine Atony were exposed to significantly more oxytocin during labor compared to matched controls.

  • Oxytocin exposure during labor among women with postpartum hemorrhage secondary to uterine Atony.
    American journal of obstetrics and gynecology, 2010
    Co-Authors: Chad A. Grotegut, Lauren N C Johnson, Betty Thames, Michael J Paglia, Andra H. James
    Abstract:

    We sought to determine if women with severe postpartum hemorrhage (PPH) secondary to uterine Atony received greater amounts of oxytocin during labor compared to women without PPH. Subjects with severe PPH secondary to uterine Atony, who received a blood transfusion, were compared to matched controls. Total oxytocin exposure was calculated as the area under the concentration curve (mU/min*min). Variables were compared using paired t test, χ², and logistic regression. Women with severe PPH had a mean oxytocin area under the curve of 10,054 mU compared to 3762 mU in controls (P < .001). After controlling for race, body mass index, admission hematocrit, induction status, magnesium therapy, and chorioamnionitis using logistic regression, oxytocin area under the curve continued to predict severe PPH. Women with severe PPH secondary to uterine Atony were exposed to significantly more oxytocin during labor compared to matched controls. Copyright © 2011 Mosby, Inc. All rights reserved.

Alan T. N. Tita - One of the best experts on this subject based on the ideXlab platform.

  • risk factors for uterine Atony postpartum hemorrhage requiring treatment after vaginal delivery
    American Journal of Obstetrics and Gynecology, 2013
    Co-Authors: Luisa Wetta, Jeff M. Szychowski, Samantha R. Seals, Melissa S. Mancuso, Joseph R. Biggio, Alan T. N. Tita
    Abstract:

    Objective We sought to identify risk factors for uterine Atony or hemorrhage. Study Design We conducted a secondary analysis of a 3-arm double-blind randomized trial of different dose regimens of oxytocin to prevent uterine Atony after vaginal delivery. The primary outcome was uterine Atony or hemorrhage requiring treatment. In all, 21 potential risk factors were evaluated. Logistic regression was used to identify independent risk factors using 2 complementary predefined model selection strategies. Results Among 1798 women randomized to 10, 40, or 80 U of prophylactic oxytocin after vaginal delivery, treated uterine Atony occurred in 7%. Hispanic (odds ratio [OR], 2.1; 95% confidence interval [CI], 1.3–3.4), non-Hispanic white (OR, 1.6; 95% CI, 1.0–2.5), preeclampsia (OR, 3.2; 95% CI, 2.0–4.9), and chorioamnionitis (OR, 2.8; 95% CI, 1.6–5.0) were consistent independent risk factors. Other risk factors based on the specified selection strategies were obesity, induction/augmentation of labor, twins, hydramnios, anemia, and arrest of descent. Amnioinfusion appeared to be protective against uterine Atony (OR, 0.53; 95% CI, 0.29–0.98). Conclusion Independent risk factors for uterine Atony requiring treatment include Hispanic and non-Hispanic white ethnicity, preeclampsia, and chorioamnionitis.

  • Risk Factors for Uterine Atony/Postpartum Hemorrhage Requiring Treatment after Vaginal Delivery
    American journal of obstetrics and gynecology, 2013
    Co-Authors: Luisa Wetta, Jeff M. Szychowski, Samantha R. Seals, Melissa S. Mancuso, Joseph R. Biggio, Alan T. N. Tita
    Abstract:

    Objective We sought to identify risk factors for uterine Atony or hemorrhage. Study Design We conducted a secondary analysis of a 3-arm double-blind randomized trial of different dose regimens of oxytocin to prevent uterine Atony after vaginal delivery. The primary outcome was uterine Atony or hemorrhage requiring treatment. In all, 21 potential risk factors were evaluated. Logistic regression was used to identify independent risk factors using 2 complementary predefined model selection strategies. Results Among 1798 women randomized to 10, 40, or 80 U of prophylactic oxytocin after vaginal delivery, treated uterine Atony occurred in 7%. Hispanic (odds ratio [OR], 2.1; 95% confidence interval [CI], 1.3–3.4), non-Hispanic white (OR, 1.6; 95% CI, 1.0–2.5), preeclampsia (OR, 3.2; 95% CI, 2.0–4.9), and chorioamnionitis (OR, 2.8; 95% CI, 1.6–5.0) were consistent independent risk factors. Other risk factors based on the specified selection strategies were obesity, induction/augmentation of labor, twins, hydramnios, anemia, and arrest of descent. Amnioinfusion appeared to be protective against uterine Atony (OR, 0.53; 95% CI, 0.29–0.98). Conclusion Independent risk factors for uterine Atony requiring treatment include Hispanic and non-Hispanic white ethnicity, preeclampsia, and chorioamnionitis.

Srisuda Songthamwat - One of the best experts on this subject based on the ideXlab platform.

  • Uterine flexion suture: modified B-Lynch uterine compression suture for the treatment of uterine Atony during cesarean section.
    International journal of women's health, 2018
    Co-Authors: Srisuda Songthamwat, Metha Songthamwat
    Abstract:

    Objective The aim of this study was to report our clinical experience of applying a uterine flexion suture, which was modified from the B-Lynch uterine compression suture, for treating uterine Atony during cesarean section. Materials and methods This is a retrospective descriptive study describing the use of a new technique, uterine flexion suture, for treating uterine Atony during cesarean section. The study period was from January 2009 to December 2017 at Udonthani Hospital, Udonthani, Thailand. Uterine Atony during cesarean section was treated by manual compression, intravenous oxytocin, methylergonovine maleate, and prostaglandins and then was observed for 10-15 minutes before applying a uterine flexion suture in the failed medical treatment cases. The patients were observed for vaginal bleeding, hematometra, and infection after operation. Uterine ultrasound scan results on days 1, 7, and 30 postoperation were also reviewed. Results Fifty-seven patients with uterine Atony during cesarean delivery received the uterine flexion suture. The mean age of patients was 27.0 (15-44 years). Thirty-four patients were primipara. The indications for cesarean section were cephalopelvic disproportion in 27 (47.4%) cases, and previous cesarean section in 11 (19.3%) cases. Neither postoperative excessive bleeding nor hysterectomy was observed. There was no hematometra or serious postoperative complication after surgery. The estimated time for uterine flexion suture is only 2-3 minutes and was very easy to perform. Conclusion Uterine flexion suture technique, which was modified from the B-Lynch suture, was inexpensive, quick, and effective in the treatment of atonic postpartum uterus in women undergoing cesarean section.

Chad A. Grotegut - One of the best experts on this subject based on the ideXlab platform.

  • oxytocin exposure during labor among women with postpartum hemorrhage secondary to uterine Atony
    American Journal of Obstetrics and Gynecology, 2011
    Co-Authors: Chad A. Grotegut, Lauren N C Johnson, Betty Thames, Michael J Paglia, Andra H. James
    Abstract:

    Objective We sought to determine if women with severe postpartum hemorrhage (PPH) secondary to uterine Atony received greater amounts of oxytocin during labor compared to women without PPH. Study Design Subjects with severe PPH secondary to uterine Atony, who received a blood transfusion, were compared to matched controls. Total oxytocin exposure was calculated as the area under the concentration curve (mU/min*min). Variables were compared using paired t test, χ 2 , and logistic regression. Results Women with severe PPH had a mean oxytocin area under the curve of 10,054 mU compared to 3762 mU in controls ( P Conclusion Women with severe PPH secondary to uterine Atony were exposed to significantly more oxytocin during labor compared to matched controls.

  • Oxytocin exposure during labor among women with postpartum hemorrhage secondary to uterine Atony.
    American journal of obstetrics and gynecology, 2010
    Co-Authors: Chad A. Grotegut, Lauren N C Johnson, Betty Thames, Michael J Paglia, Andra H. James
    Abstract:

    We sought to determine if women with severe postpartum hemorrhage (PPH) secondary to uterine Atony received greater amounts of oxytocin during labor compared to women without PPH. Subjects with severe PPH secondary to uterine Atony, who received a blood transfusion, were compared to matched controls. Total oxytocin exposure was calculated as the area under the concentration curve (mU/min*min). Variables were compared using paired t test, χ², and logistic regression. Women with severe PPH had a mean oxytocin area under the curve of 10,054 mU compared to 3762 mU in controls (P < .001). After controlling for race, body mass index, admission hematocrit, induction status, magnesium therapy, and chorioamnionitis using logistic regression, oxytocin area under the curve continued to predict severe PPH. Women with severe PPH secondary to uterine Atony were exposed to significantly more oxytocin during labor compared to matched controls. Copyright © 2011 Mosby, Inc. All rights reserved.