TREATMENT OUTCOMES OF POSTPARTUM HEMORRHAGE DUE TO UTERINE ATONY FOLLOWING VAGINAL DELIVERY AT THE NATIONAL HOSPITAL OF OBSTETRICS AND GYNECOLOGY FROM JUNE 2024 TO JUNE 2025
Main Article Content
Abstract
Objective: To describe the treatment outcomes of postpartum hemorrhage due to uterine atony following vaginal delivery at the National Hospital of Obstetrics and Gynecology from June 2024 to June 2025.
Subjects and methods: A cross-sectional descriptive study was conducted on 59 cases of postpartum hemorrhage following vaginal delivery that were managed at the National Hospital of Obstetrics and Gynecology during the study period.
Results: The age group 25–29 years accounted for the highest proportion, followed by the 30–34 age group. The most common risk factors were precipitous labor, macrosomia, and a considerable proportion of cases with unidentified risk factors. Medical management was applied in most cases and achieved complete success; interventional procedures were partially successful, and all unsuccessful cases were subsequently managed surgically, leading to a 100% overall hemorrhage control rate. Most patients required blood transfusion, with a moderate average volume administered. The average post-hemorrhage treatment duration was short, with the majority recovering within three days, and no complications were recorded.
Conclusion: Stepwise management of postpartum hemorrhage due to uterine atony following clinical protocols proved to be highly effective and safe. Early intervention and adherence to standardized procedures played a pivotal role in successful hemorrhage control and minimizing complications. Conservative treatment approaches remain central in obstetric clinical practice.
Article Details
Keywords
postpartum hemorrhage, uterine atony.
References
2. Phạm Thị Xuân, Nghiên cứu về nguyên nhân, triệu chứng lâm sàng, cận lâm sàng và xử trí chảy máu sau đẻ đƣờng âm đạo tại Bệnh viện Phụ sản Thái Bình. 2020, Trường Đại học Y Dược Thái Bình: Thái Bình.
3. Bonnar, J., Massive obstetric haemorrhage. Best Practice & Research Clinical Obstetrics & Gynaecology, 2000. 14(1): p. 1-18.
4. Edhi, M.M., et al., Post partum hemorrhage: causes and management. BMC research notes, 2013. 6(1): p. 236.
5. Đoàn Duy Mạnh, Nghiên cứu một số yếu tố liên quan và phương pháp xử trí băng huyết sau đẻ tại Bệnh viện Phụ sản Thái Bình trong 2 năm 2008-2009. 2010, Trường Đại học Y Dược Thái Bình: Thái Bình.
6. Cameron, C.A., et al., Trends in postpartum haemorrhage. Australian and New Zealand journal of public health, 2006. 30(2): p. 151-156.
7. Cunningham F Gary et al, Obstetrical hemorrhage. Vol. 24. 2014: Williams Obstetrics, McGraw-Hill. 780-828.
8. Alonso-Burgos, A., et al., Primary and secondary postpartum haemorrhage: a review for a rationale endovascular approach. CVIR Endovasc, 2024. 7(1): p. 17.
9. Bienstock, J.L., A.C. Eke, and N.A. Hueppchen, Postpartum hemorrhage. New England Journal of Medicine, 2021. 384(17): p. 1635-1645.
10. Vũ Thị Hồng Chính, Thực trạng chảy máu sau đẻ đường âm đạo và các yếu tố liên quan tại Bệnh viện Đa khoa Quốc tế Vinmec Times City. 2024, Luận văn Bác sỹ chuyên khoa cấp II: Hà Nội.