Table 4 Surgical technique reported to be used by obstetricians as first, second and third line treatments in a haemodynamically stable patient during severe PPH.
From: Surgical management of postpartum haemorrhage: survey of French obstetricians
First line | Second line | Third line | |
|---|---|---|---|
Uterine compression techniques | 103 (36; 30–42) | 50 (17; 13–22) | 21 (7; 5–11) |
Distal ligation (of the uterine arteries or Tsirulnikov stepwise triple ligation) | 145 (51; 45–57) | 111 (39; 33–45) | 3 (1; 0–3) |
Bilateral ligation of the internal iliac arteries | 35 (12; 9–17) | 90 (32; 26–37) | 74 (26; 21–31) |
Emergency hysterectomy | 2 (1; 0–3) | 32 (11; 8–15) | 156 (55; 49–60) |
None, a hysterectomy was already done | — | 2 (1; 0–3) | 32 (11; 8–15) |
