Bilateral Uterine Artery Ligation in Reducing Incidence of Postpartum Hemorrhage in Cesarean Section

Role of Bilateral Uterine Artery Ligation in Reducing Incidence of Postpartum Hemorrhage in Cesarean Section in Patients At Risk of Uterine Atony A Randomized Controlled Trial

The patients were recruited from women attending labor ward to undergo cesarean section.

Inclusion Criteria:

• Women with one or more of the following conditions undergoing cesarean section for obstetric indication were included:
• Maternal anemia (not less than 7 gm %).
• Macrosomic baby >4kgs.
• Twin pregnancy and high order pregnancy.
• Polyhydramnios.
• Grand multipara.
• Previous history of atonic postpartum hemorrhage.
• Prolonged vaginal delivery.
• Emergency cesarean.
• Chorioamnionitis.

Exclusion Criteria:

• - Placenta previa.
• Patients with bleeding tendency (congenital or acquired)
• Ante-partum hemorrhage.
• Patients with no risk for uterine atony.