A change in the management of intractable obstetrical hemorrhage over 15 years in a tertiary care center

Abstract

CONTEXT Peripartum hysterectomy was the gold standard to save a woman with persistent obstetrical bleeding, but compromised the menstrual and reproductive functions. Bilateral internal iliac artery ligation (BIAL) is a potentially effective, fertility preserving means of controlling pelvic hemorrhage, but with surgical and anesthetic risks and low success… (More)
DOI: 10.4103/2229-516X.140710

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