International Journal of Obstetrics and Gynecology

International Journal of Obstetrics and Gynecology ISSN 2326-7234 Vol. 8 (4), pp. 001-006, April, 2020. © International Scholars Journals

Full Length Research Paper

The efficacy of local hemostatic agents in controlling  postpartum hemorrhage

Mohamed Sayed Ahmed Emarah (MD), Abeer EL Shabacy (MD), Mohamed A.EL Naggar (MD) of Obstetrics & Gynacology Department, Benha Teaching Hospital, Egypt.

Accepted 26 February, 2019

Abstract                                                                           

Postpartum hemorrhage (PPH) is considered as one of the most leading causes of maternal mortality all across the world, especially in developing countries. Topical hemostatic agents are utilized as adjuncts to control intraoperative bleeding in situations including: bleeding near vital organs or nerves, at needle-holes, from raw surface areas, in friable or attenuated tissues and in patients who are anticoagulated, have bleeding diatheses or have platelet dysfunction. Physical agents and biologically active agents comprise the two main categories of topical hemostatic agents. The use of local hemostatic agents for intraoperative hemorrhage control has been described by various surgical specialties including cardiovascular, otolaryngology, urology, gynecology, and others.  The aim of this study is to evaluate the role of a local hemostatic agent (Gelfoam) in the control of PPH. This cross-section study was conducted at Benha Teaching Hospital, Obstetrics and Gynecology Department (Emergency Unit) for delivery. The study included 60 pregnant females who underwent cesarean section and vaginal deliveries and developed PPH. Pregnant women are at risk of PPH and blood loss during labor that cannot be always prevented. Good antenatal care help is needed in the early detection of risk factors for PPH. Those technically simple procedures such as the use of Gelfoam at the bleeding sites should have the priority in cases of PPH, because they are effective, reliable, and can be performed under easy instructions and by less trained personnel.  

Keywords: Gelfoam, local hemostatic agents, postpartum hemorrhage.