S. Craig, H. Chau, H. Cho
Treatment of severe postpartum hemorrhage by rectally administered gemeprost pessaries
Objective. To assess the efficacy of rectally administered
gemeprost pessaries in the tretament of severe
postpartum hemorrhage.
Design. Retrospective analysis of a twelve month
period in which all patients having postpartum hemorrhage
treated with rectal gemeprost were analyzed.
Setting. Royal Darwin Hospital, Northern Territory,
Australia.
Population. Fourteen women with established postpartum
hemorrhage not responding to oxytocine and ergo-metrine regimens, or not responsive to oxytocine and
having contraindications to ergometrine.
Main outcome measures. Per vaginum bleeding with
continued postpartum hemorrhage; adverse patient reactions
to gemeprost; need for operative intervention.
Results. All patients who were treated with rectally administered
gemeprost pessaries had cessation of bleeding
per vaginum. There were no adverse side effects
noted from the medication and no patient required surgical
treatment.
Conclusions. Rectally administered gemeprost administered
pessaries appear to be safe and effective method
of treating severe postpartum hemorrhage in those patients in whom the standard oxytocic regimens fail. This
form of treatment may avoid the need for parenteral
prostaglandins or surgical intervention.
Journal of Perinatal Medicine, Walter de Gruyter
Print ISSN: 1619-3997
Volume: 27, 07/1999
Pages: 231 - 235
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