Uterine packing efficacy in postpartum hemorrhage. About 99 cases. The experience of a French hospital level 2 A

Objective. - To show place and usefulness of intra-uterine compression in management of postpartum haemorrhage (PPH). Material and methods. - Retrospective cohort study, monocentric, including all consecutive cases of PPH during four years in an obstetric department of level Ila. The compression technique was the use of intra-uterine meshes, and efficacy was defined as a total and immediate bleeding interruption. Apart of meshes, patients received sulprostone then ocytocine and antibiotics. Results. - The rate of PPH was 3.8% on 3913 deliveries. One hundred and fifty patients with PPH were managed following CNGOF guidelines. Ninety-nine patients were also treated with intra-uterine meshes during 24 hours. The rate of mesh success was 91.9%. Sixty-two cases of subsequent pregnancies were also reported. Conclusion. - In case of PPH, intra-uterine compression using meshes is simple, cheap and efficient. That technique could avoid the use of invasive surgical procedures and a safer post-natal transfer. (C) 2013 Elsevier Masson SAS. All rights reserved.