UTERINE PACKING IN THE MANAGEMENT OF COMPLETE PLACENTA PRAEVIA

Okafori .I, Ugwu E. O, Obis .N, Nwogu-Ikojo E. E.

Available online Jul 19, 2018.

[ Original ] Volume 23, Issue 4, 2014, Pages 321-324


Abstract

Background: Complete (type 4) placenta praevia is a major cause of haemorrhage in Obstetrics.Uterine packing
is an effective but underutilized life-saving intervention in situation of uncontrolled haemorrahage due to major
placenta praevia.
Objectives: To reappraise the effectiveness of uterine packing in the management of complete placenta praevia in
order to popularize the practice.
Methods: Seven case series of complete placenta praevia were managed with uterine packing in Enugu, Nigeria
between January 2,2012 and February 28,2013.
Results and Interpretation:Previous Caesarean delivery (85.71%) was the commonest identified risk factor for
complete placenta praevia.Uterine packing was effective in preventing blood transfusion in 57.14% of the cases,and
further post-operative intervention in 85.71%.Peripartum hysterectomy and maternal death were 100% avoidable.
Conclusions: Uterine packing is an effective life-saving intervention in management of complete placenta praevia.
The technique should be considered whenever there is uncontrollable haemorrage following complete placenta
praevia.


Keywords

Uterine packing, complete placenta praevia, effectiveness,

October December 2014

Volume 23 | Issue 4

Page Nos. 321-324

Online since Jul 13, 2018

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