Journal of the Medical Association of Thailand Vol 92, No 5:MAY 2009 0125-2208 92 5 2009 May Lower Uterine Segment Compression for Management of Early Postpartum Hemorrhage After Vaginal Delivery at Charoenkrung Pracharak Hospital 600 EN Wanchai Chantrapitak Kamol Srijanteok Supalarp Puangsa-art Original Article 1. To evaluate the efficacy of lower uterine compression method in treatment of postpartumhemorrhage (PPH). 2. To compare the amount of blood loss in PPH between the lower uterine compressionmethod and the conventional treatment.Study design: Randomized control trial. This Randomized control trial was done at the Department of Obstetrics and Gynecology,Charoenkrung Pracharak Hospital, Bangkok, between January and August 2008. During the study period,66 cases of PPH were identified. Two patients were excluded from the present study due to cervical tear andextensive birth canal tear. Sixty-four patients met all inclusion criteria and were included in the present study.Thirty-two patients were randomly assigned to the conventional protocol and the other 32 were managed bythe conventional protocol with the addition of lower uterine compression. The lower uterine compressiontreatment was started promptly together with other modalities of PPH treatment. This technique can beperformed by using one hand to compress tightly at the lower segment of uterus for 10 minutes.Main outcome measurement: The amount of blood loss in both control and experiment groups were collectedafter treatment of PPH for 2 hours postpartum. In all 64 cases, the blood loss after treatment in the conventional group is statistically significantlyhigher than the blood loss in the group that received lower uterine compression (225 + 401 ml vs. 120 + 211ml; p = 0.026). The addition of lower uterine compression resulted in 105 ml or 47% reduction of blood loss. The lower uterine compression method is a very effective procedure for treating PPH. It is simpleto use, safe and no cost. This technique is an innovative scheme in the obstetrics field. The more efficienttreatment of PPH would have a positive impact on the outcome of many patients who have postpartumhemorrhage, leading to the reduction in morbidity or even save the lives of patients. Postpartum hemorrhage Suture techniques Therapy Uterine hemorrhage