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| Efficacy observation of intraoperative application of disposable uterine cavity compression double balloon combined with carboprost tromethamine for preventing postpartum hemorrhage of women with placenta previa and placenta accreta |
| Jingjiang People’s Hospital，Jiangsu Province, 214500 |
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Abstract Objective: To investigate the clinical efficacy of disposable uterine cavity compression balloon combined with carboprost tromethamine for preventing postpartum hemorrhage of women with placenta previa and placenta accreta. Methods: 64 women with placenta previa and placenta accreta were randomly divided into two groups (32 cases in each group) by random numbers table. The women in the control group were treated by carboprost tromethamine，and the women in the observation group were treated by disposable uterine cavity compression double balloon combined with carboprost tromethamine. The postpartum hemorrhage situation of women was compared between the two groups. Results: The bleeding amount during operation， valumes of postpartum at 2 hours and 24 hours of women in the observation group were significant lower than those of women in the control group (P<0.05). The incidence of postpartum hemorrhage of women in the observation group was 9.4%，which was significant lower than that (40.6%) of women in the control group (P<0.05). The incidence of postpartum hemorrhage of women with mixing factor (placenta and uterine factor) was significant higher（P<0.05). There were no significant different in the operation time and Apgar scores of newborn between the two groups (P>0.05). The rates of hysterectomy，Blynch suture and blood transfusion, and hospitalization time of women in the observation group were significant lower than those of women in the control group (P<0.05). Conclusion: Intraoperative application of disposable uterine cavity compression double balloon combined with carboprost tromethamine for treating women with placenta previa and placenta accreta during cesarean can effectively prevent postpartum hemorrhage occurance, reduce the risk of hysterectomy, and can improve pregnancy outcomes.
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