Abstract
Aim: Various methods to reduce postpartum hemorrhage due to placenta previa have been suggested. The aim of this study is to evaluate the usefulness of vertical compression sutures (VCS) for controlling bleeding in patients with a placenta previa.
Methods: We analyzed 115 patents with placenta previa and compared 38 patients before the introduction of VCS and 77 patients after its introduction. The 77 patients were divided into 2 groups, 63 women in whom VCS were not used (Non-VCS Group) and 14 women who received VCS (VCS Group); the groups were compared.
Results: The average blood loss during surgery was 1,910±1,536 ml before the introduction of VCS and 1,530±699.0 ml after its introduction. The rate of patients with hemorrhage > 2,000 ml was 37% (14/38) before VCS were introduced and 19% (15/77) after their introduction (P<0.05). VCS were used in 14 cases and were effective in all cases. The average intraoperative blood loss was 1,443±655.8 ml in the Non-VCS group and 1,919±778.1 ml in the VCS Group (P<0.05). The rate of patients with hemorrhage > 2,000 ml was 13% (8/63) in the Non-VCS group and 50% (7/14) in the VCS Group (P<0.05).
Conclusions: VCS is effective for controlling bleeding with a placenta previa.
