Management of Severe Postpartum Haemorrhage with Bilateral Ligation of Internal Iliac Artery in Secondary Care and Tertiary Care Hospital; 4.5 Years Experience

Abstract

Objective: Is to describe effectiveness of bilateral ligation of internal iliac artery in severe PPH with benefit of preserving fertility.

Study Design:  Prospective case series study.

Place and Duration of Study: This study was conducted at DHQ Hospital Bagh and C.M.H, Muzaffarabad Azad Kashmir from September 2008 to November 2013.

Materials and Methods: In fifty one patient bilateral ligation of internal iliac artery was done to control severe PPH after failure of conventional therapy (medical and other surgical measure bilateral uterine artery ligation and B lynchstich).

Results: Among those 50 patients the success rate was 88% and incidence of hysterectomy was 12%.

Conclusion: This procedure is successful in controlling haemorrhage preserving fertility with less morbidity.