Department of Obstetrics, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, 350001, Fujian, China.
Medical Research Center, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, 350001, Fujian, China.
BMC Pregnancy Childbirth. 2021 Nov 10;21(1):762. doi: 10.1186/s12884-021-04231-4.
Postpartum hemorrhage is a serious complication of childbirth and is still the leading cause of maternal death worldwide. Lower uterine segment hemorrhage during cesarean section is an important cause of postpartum hemorrhage. Our objective is to expore the efficacy and safety of King's combined uterine suture for hemostasis during cesarean section.
We examined 48 cases: 16 cases of pernicious placenta previa (including one case of twins), 11 cases of central placenta previa (including one case of twins), 18 cases of uterine scarring (including two cases of twins), as well as one case of twin pregnancy, two cases of breech presentation, and one case of pulmonary hypertension. The "King's combined uterine suture" method for hemostasis was used in patients with lower uterine segment hemorrhage during cesarean section.
The results showed that all patients had successful hemostasis during surgery, and there were no cases of hysterectomy.
We have concluded that King's combined uterine suture is a fast and safe hemostasis method for cesarean section that can effectively reduce blood loss and restore the normal shape of the lower uterine segment. Furthermore, this suture method can reduce postpartum hemorrhage and hysterectomy rate, as well as improve maternal prognosis.
产后出血是分娩的严重并发症，仍是全世界产妇死亡的主要原因。剖宫产术中下段子宫出血是产后出血的重要原因。我们的目的是探讨 King 式子宫缝合术在剖宫产术中止血的效果和安全性。
我们检查了 48 例病例：16 例凶险性前置胎盘（包括 1 例双胎）、11 例中央型前置胎盘（包括 1 例双胎）、18 例子宫瘢痕（包括 2 例双胎），以及 1 例双胎妊娠、2 例臀位、1 例肺动脉高压。对剖宫产术中下段子宫出血患者采用“King 式子宫缝合术”进行止血。
结果显示所有患者术中均止血成功，无 1 例切除子宫。
我们得出结论，King 式子宫缝合术是一种快速、安全的剖宫产止血方法，可有效减少出血量，恢复下段子宫正常形态。此外，这种缝合方法可以降低产后出血和子宫切除率，改善产妇预后。
