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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Aortic Clamp: A Solution to Prevent Massive Obstetric Haemorrhage in Cases of Placenta Previa

Ashok Kumar Devoor, Chaitra Ramachandra, Neha G. Yalagachin, Rashmi Kumar Karnig, Manuja , Sharadini and Praveen Lamani
Page: 170-172 | Received 25 Aug 2024, Published online: 17 Oct 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.11.170.172

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Abstract

Massive obstetric haemorrhage can occur in cases of atonic post‐partum haemorrhage, abruption, placenta previa, placenta accreta syndrome, ruptured uterus and such others. The major consequences of this being‐massive blood transfusion, inotropic supports, need for mechanical ventilation, DIC, acute kidney injury, prolonged hospital stay, morbidity and maternal mortality. Aortic clamping at the initial stage can reduce the initial stage of sudden blood loss and thus preventing all the dire consequences associated with it. Known cases of placenta previa/placenta accreta syndrome were considered into the study. With informed consent, under general anaesthesia the procedure was undertaken. After the extraction of the foetus, Aorta was identified just above its bifurcation and Paily’s clamp was applied. Details regarding the duration application, blood loss during the procedure, total duration of the procedure and post‐operative follow up and maternal outcome was followed up. 10 cases of pre‐diagnosed placenta previa patients were applied with intraoperative aortic clamp. The average age of the patients was 28.9 years. The mean duration of aortic clamp application was 18.8 minutes. The minimum blood loss was 250ml. excluding the extremes, the mean blood loss was 726.25mL. Two of the patients underwent obstetric hysterectomy. 7 patients needed post‐operative blood products transfusion and zero maternal mortality. Aortic clamp is an effective method to prevent and treat massive obstetric haemorrhage, save the uterus and maternal lives.

How to cite this article:

Ashok Kumar Devoor, Chaitra Ramachandra, Neha G. Yalagachin, Rashmi Kumar Karnig, Manuja , Sharadini and Praveen Lamani. Aortic Clamp: A Solution to Prevent Massive Obstetric Haemorrhage in Cases of Placenta Previa.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.11.170.172
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.11.170.172