Application effect of sterile normal saline ice for post-partum hemorrhage at the time of cesarean delivery: A retrospective review

作者：Cheng, Wenjing; Wang, Qiushi; Zhang, Zhenyu^*

来源：Journal of Obstetrics and Gynaecology Research, 2016, 42(10): 1286-1289.

DOI：10.1111/jog.13047

• cesarean section
• ice
• normal saline
• post-partum hemorrhage
• therapeutics

Aim: Post-partum hemorrhage (PPH) is a common complication of cesarean sections (CS) and affects maternal and newborn health. We used a new method to control bleeding and compared its efficacy with conventional methods. Methods: Eighty-six women who experienced PPH with volume of bleeding over 1000 mL in CS between January 2008 and January 2012were chosen as samples. Thirty-three underwent the newmethod inwhich normal saline ice blocks are placed in the uterus, and 53 underwent the conventional method. We evaluated blood loss, volume of transfusion and complications. Results: Patients who were treated with ice blocks had better hemostatic efficacy than those who underwent the conventional method (1450 +/- 251.9mL vs 1800 +/- 278.9mL; P < 0.001); they also had less blood transfusion (806.1 +/- 242.3 mL vs 1222.6 +/- 308.0 mL; P < 0.001), lower rate of hysterectomy and infection (3.03% vs 5.66%; P = 0.971; 0% vs 7.55%; P = 0.276), and shorter duration of hospital stay (5.3 +/- 0.5 days vs 7.6 +/- 3.0 days; P < 0.001). Conclusion: PPH in CS can be treated with peeled sterile normal saline ice blocks, a simple and reliable method for stopping bleeding. Nonetheless, there needs to be a large randomized control trial for confirmation.

• 出版日期2016-10
• 单位首都医科大学