EFFICACY OF INTERNAL ILIAC ARTERY LIGATION ON THE MANAGEMENT OF POSTPARTUM HEMORRHAGE AND ITS IMPACT ON THE OVARIAN RESERVE

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dc.authoridKaraer, Abdullah/0000-0002-2010-6211
dc.authoridCelik, ebru/0000-0002-0774-4294;
dc.authorwosidKaraer, Abdullah/ABI-4667-2020
dc.authorwosidCelik, ebru/X-4343-2019
dc.authorwosidSimsek, Yavuz/AAH-9894-2021
dc.contributor.authorSimsek, Yavuz
dc.contributor.authorYilmaz, Ercan
dc.contributor.authorCelik, Ebru
dc.contributor.authorTurkcuoglu, Ilgin
dc.contributor.authorKaraer, Abdullah
dc.contributor.authorTurhan, Ugur
dc.contributor.authorCelik, Onder
dc.date.accessioned2024-08-04T20:35:55Z
dc.date.available2024-08-04T20:35:55Z
dc.date.issued2012
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAim: Time of surgical treatment for postpartum hemorrhage, still being the most important cause of maternal mortality in the developing countries, could be lifesaving. In the present report, the results of bilateral internal iliac artery ligation in cases with postpartum hemorrhage were presented, in addition, the impact of the procedure on ovarian reserve were discussed. Design and patients: Patients who gave birth between August 2010 and August 2011 in our center, treated surgically due to a diagnosis of postpartum hemorrhage were retrospectively examined. Setting: A tertiary referral center Main outcome measures: The obstetric and demographic characteristics, applied surgical procedures, the need for intensive care unit, the amount of transfusion, length of hospital stay and associated morbidities and mortalities were evaluated. Postpartum concentrations of follicle stimulation hormone (FSH) and estradiol with ovarian volume calculated by ultrasonography to evaluate the impact of procedure on ovarian reserve were also examined anc compared normal controls. Results: The prevalence of postpartum hemorrhage requiring a surgical treatment was 12.5% during the period of study. Thirteen of those underwent the ligation of bilateral internal iliac artery. The mean age of 32 (24 -44), mean gravida 3,2 (1-5), mean parity 2 (0-4), mean birth week 38 (35-41) and mean birth weight were 3373 g (2500 -4200). The effectiveness of bilateral internal iliac artery ligation was 84,7%. FSH and estradiol concentrations and the mean volume of the ovaries were similar between the study (n: 10) and control (n: 56) groups (P=0.650, P=0.245 and P=0.281, respectively). Conclusion: The ligation of bilateral iliac artery, a fertility preserving method, possess high efficacy for the management of postpartum hemorrhage. The ovarian reserves of patients were not adversely affected by the surgical procedure, as well.en_US
dc.identifier.doi10.5505/tjod.2012.26576
dc.identifier.endpage158en_US
dc.identifier.issn2149-9322
dc.identifier.issn2149-9330
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-84861999748en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage153en_US
dc.identifier.urihttps://doi.org/10.5505/tjod.2012.26576
dc.identifier.urihttps://hdl.handle.net/11616/95677
dc.identifier.volume9en_US
dc.identifier.wosWOS:000422514800004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofTurkish Journal of Obstetrics and Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjecthemorrhageen_US
dc.subjectpostpartumen_US
dc.subjectsurgical treatmenten_US
dc.subjectuterine atonyen_US
dc.titleEFFICACY OF INTERNAL ILIAC ARTERY LIGATION ON THE MANAGEMENT OF POSTPARTUM HEMORRHAGE AND ITS IMPACT ON THE OVARIAN RESERVEen_US
dc.typeArticleen_US

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