Available online Jul 19, 2018.
[ Original ] Volume 23, Issue 4, 2014, Pages 321-324
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
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
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Volume 23 | Issue 4
Page Nos. 321-324
Online since Jul 13, 2018