Abstract:

The purpose. In our clinic, we were aimed at examining our patients with postpartum bleeding cause and surgery. The Method. The postpartum bleeding phenomena interfered with intraabdominal surgery in our clinic between January 2009 and December 2011 were recurrently assessed. The findings. In 10 of 44 postpartum bleeding patients (22.8 percent) after vaginal birth, 34 percent (77.2 percent) were undergoing intraabdominal surgical intervention during or after cesarine. Our maternal mortality due to postpartum bleeding was 0.017%. Hysterectomy and bilateral hypogastric arterial ligation were the first preferred approaches with a rate of 31.8%, while atonium (% 47.7) and plasenta previa (% 25) were found as the causes of frequent bleeding. For all patients, our hysterectomy rate was 47.7%. Histerectomy surgery was preferred by 62.5 per cent for other causes of bleeding except atonium, while atonium patients were preferred by 30 per cent and these rates were significant (p=0,032). In cases of plasental adhesion anomaly and plasenta previa, the number of cesarines was significantly higher compared to other patients (1,23±1,14 against 0,55±0,75; p=0.043). by 043 . The result: in our postpartum bleeding patients, our hysterectomy rate was high. This high rate can be explained by anormals of plasental attachment associated with the increase in the number of cesarines. Therefore, the reduction of the Caesar's rates for the primary prevention of postpartum bleeding may be a decayable way. However, hysterectomy should be the last method to apply in the failure of conservative treatments.

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