J Med Assoc Thai 1997; 80 (4):266

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Bimanual Uterine Compression as a Major Technique in Controlling Severe Postpartum Hemorrhage from Uterine Atony
Kovavisarch E Mail, Kosolkittiwong S

A 27-year old woman, primigravida, 33 weeks' gestation, presented with complaints of
labor pain and absent fetal movement. A dead fetus in utero, abruptio placentae, and labor pain
were diagnosed. Severe postpartum hemorrhage from uterine atony and disseminated intravascular
cogulopathy was noted after spontaneous delivery of the baby and placenta. Bimanual uterine compression
for 40 minutes was performed as a major procedure accompanied by uterotonic drugs,
correction of hypovolemic shock and coagulopathy by crytalloid, blood, fresh frozen plasma. The
patient had no complications when seen at 6 weeks' postpartum follow-up.

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