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The Journal of Maternal-Fetal & Neonatal Medicine Volume 34, 2021 - Issue 19
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Original Articles

Alalfy modified cervical inversion technique as a tamponade in controlling PPH in placenta previa, a multicentric double blind randomized controlled trial

Mahmoud Alalfya Reproductive Health and Family Planning Department, National Research Centre, Giza, Egypt;b Department of Obstetrics and Gynecology, Algezeerah Hospital, Giza, EgyptCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-8429-6376
ORCID Icon,
Elham Husseinc Obstetrics and Gynecology Department, Suez Canal University, Al Ismailia, Egypt
,
Waled Saberd Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Mohamed Elsharkawyd Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Sameh Salamaa Reproductive Health and Family Planning Department, National Research Centre, Giza, Egypt;b Department of Obstetrics and Gynecology, Algezeerah Hospital, Giza, Egypt
,
Yossra Lasheend Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Doaa Elshafeyd Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Ayman Taherd Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Dalia Faroukd Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
E. Eltaiebe Obstetrics and Gynecology Department, Ainshams Faculty of Medicine, Cairo, Egypt
,
Sherif Elsirganya Reproductive Health and Family Planning Department, National Research Centre, Giza, Egypt;b Department of Obstetrics and Gynecology, Algezeerah Hospital, Giza, Egypt
,
Mohamed Husseind Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Mohamed Fikryd Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Hatem Hassana Reproductive Health and Family Planning Department, National Research Centre, Giza, Egypt;b Department of Obstetrics and Gynecology, Algezeerah Hospital, Giza, Egypt
,
Jehan Sadekd Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Doaa Alaad Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Hesham Toradf Urology Department, Kasralainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Rana Abdellad Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Sief Alig Obstetrics and Gynecology Department, Faculty of Medicine, Assuit University, Assuit, Egypt
,
Amera Yehiad Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Rehab Lotfyd Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
,
Amal Hanafyd Obstetrics and Gynecology Department, Kasr alainy Faculty of Medicine, Cairo University, Cairo, Egypt
&
Ahmed Hassanh Obstetrics and Gynecology Department, Helwan Faculty of Medicine, Helwan University, Helwan, Egypt
 show all
Pages 3162-3168 | Received 09 Aug 2019, Accepted 06 Oct 2019, Published online: 21 Oct 2019
 
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Abstract

Introduction

Postpartum hemorrhage that occurs frequently with placenta previa is one of the causes of maternal mortality in 14% in developing countries.

Objective

To assess efficacy of cervical inversion as a tamponade in controlling bed of placenta in cases of placenta previa.

Patients and method

A prospective randomized controlled study was conducted among a total of 240 pregnant women with placenta previa (120 subjected to Alalfy modified cervical inversion technique plus hemostatic sutures and 120 was not subjected cervical inversion and only was subjected to hemostatic sutures in Obstetrics and Gynecology Department at Suez Canal University hospital, Helwan University and Algezeerah hospital for a planned cesarean section).

Results

The mean intraoperative blood loss, the intraoperative time, and the postoperative hemoglobin show a statistically significant difference between cases with placenta previa who were exposed to cervical inversion in comparison to cases that had no cervical inversion with a p-value <.001.

Conclusion

Modified cervical inversion (Alalfy technique) as a tamponade when added to hemostatic sutures to the placental bed is an easy, rapid, and efficient procedure that can decrease the amount of blood loss, time needed to stop bleeding per bed, total operative time, also it can decrease the need for blood transfusion.

Correction Statement

This article has been republished with minor changes. These changes do not impact the academic content of the article.

Acknowledgements

We thank the staff members who helped us in this study in Suez Canal University Hospital, Helwan University and Algezeerah Hospitals.

Author contribution

All authors participated and made a substantial contribution to all aspects of the research.

Disclosure statement

No potential conflict of interest was reported by the authors.

Data availability

The study was registered in clinicaltrials.gov with identification ID: NCT03772184

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