ABSTRACT
Postpartum haemorrhage (PPH), especially resulting from placenta accreta spectrum (PAS), has become a worldwide concern in maternity care. We describe a novel method of uterine compression sutures (the 'Nausicaa' technique) as an alternative to hysterectomy for patients who have suffered from major PPH. We applied this technique in 68 patients with major PPH during caesarean section (including 43 patients with PAS, 20 patients with placenta praevia totalis, and five patients with uterine atony), and none of these patients required further hysterectomy. We conclude that our Nausicaa suture is a simple and feasible alternative to hysterectomy in patients suffering from major PPH.
Subject(s)
Cesarean Section , Placenta Accreta , Placenta Previa , Postpartum Hemorrhage/surgery , Suture Techniques , Uterine Inertia , Adult , Female , Humans , Hysterectomy , Massage , Middle Aged , Misoprostol/therapeutic use , Oxytocics/therapeutic use , Oxytocin/therapeutic use , Postpartum Hemorrhage/etiology , Postpartum Hemorrhage/therapy , Pregnancy , Severity of Illness Index , Treatment Failure , Young AdultABSTRACT
This study showed the effects of sintering temperature and atmospheric pressure on the density, tensile strength, and microstructure of porcelain enamels. Although the densities of the opaque porcelains were higher, they were weaker than the gingival porcelains. Gingival porcelains also glazed and sintered at lower temperatures than the opaque porcelains.
