Controlling Post-Partum Hemorrhage Using A Novel Technique of Multiple Sponge-Holding-Forceps Applied Along Cervical Canal

Abstract

Introduction: Postpartum hemorrhage (PPH) is not only one of the leading causes of maternal mortality but also the most feared complication amongst obstetricians. Despite various predictive factors, PPH can occur in low risk pregnancies without predictive factors. Application of sponge holding forceps vaginally can invariably stop bleeding, leading to prevention of serious consequences.

Aims & Objectives: To determine the proportion of success of PPH control using sponge holders applied vaginally to the cervix after failure of medical treatment and before going for hysterectomy, in immediate post partum period.

Place and duration of study: This study was a cross-sectional study conducted at the labour room, Indus Hospital Raiwind for duration of one year from June 2020 to June 2021.

Material & Methods: Clinical and demographic features were recorded on a pre-designed proforma. Parity and gravidity was determined. Amount of bleeding was estimated and recorded. Additionally, the final result of patients was reported, as well as if they required surgical intervention. Data was analyzed using SPSS 24.p value ?0.05 was considered significant.

Results: The mean (SD) age in our study was 26.28 (4.11) years. In this study majority of the patients were primipara 65% (n=26) and 35% (n=14) were multipara. On the basis of gravidity, more patients 37.5% (n=15) were primigravida while multigravida and grand multigravida patients were 27.5% (n=11) and 35% (n=14) respectively. The mean (SD) blood loss before the procedure was 720 (200) ml while after the procedure it was 90 (130) ml (p=0.02). This procedure was successful in all the patients and there was no need of further surgical intervention.

Conclusion: Our study concludes that use of sponge holding forceps as cervical clamp around cervix is one of the effective, economic and safe procedure for PPH patients.