{
    "abstract": "Worldwide, the incidence of postpartum haemorrhage (PPH) is \u223c6% and it is the leading cause of maternal mortality. The present study introduces a non-invasive procedure called bilateral cervix apex clamping (BCAC) as a new treatment for refractory PPH. A total of 13 vaginal deliveries and 5 caesarean section patients received the BCAC procedure to stop bleeding. During the procedure, the anterior and posterior walls of the cervical apex were clamped using toothless ovum forceps from the left and right side. The procedure was terminated when the bleeding had nearly stopped without clamping. The success rate of the procedure was 94.4% (17/18) overall, and 92.3% for vaginal delivery and 100% in caesarean section patients. Only one case of vaginal delivery did we resort to exploratory laparotomy and hysterectomy as amniotic fluid embolism occurred. The time spent on the procedure was 2-4\u2009min for vaginal delivery cases and 5-7\u2009min for caesarean section patients. The blood loss reduced significantly after the procedure, before the BCAC and after it was 875(450)\u2009ml versus 100(80)ml (",
    "authors": [
        {
            "affiliation": "Department of Obstetrics and Gynecology, Shanghai Jiading Maternity & Infant Health Hospital, Tongji University Teaching Hospital, Shanghai, China.",
            "firstname": "Li",
            "initials": "L",
            "lastname": "Jiang"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Shanghai Jiading Maternity & Infant Health Hospital, Tongji University Teaching Hospital, Shanghai, China.",
            "firstname": "Xiahong",
            "initials": "X",
            "lastname": "Wang"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.1080/01443615.2020.1803237",
    "journal": "Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology",
    "keywords": [
        "BCAC",
        "PPH",
        "UAE",
        "caesarean section",
        "vaginal delivery"
    ],
    "methods": null,
    "publication_date": "2020-11-05",
    "pubmed_id": "33143495",
    "results": null,
    "title": "A new non-invasive procedure for refractory PPH after vaginal delivery and caesarean section.",
    "xml": "<Element 'PubmedArticle' at 0x78850667c8b0>"
}