RT Journal Article
T1 Temporary clamping of the uterine arteries versus coventional technique for the prevention of postpartum hemorrage during cesarean section: a randomized controlled trial study.
A1 Gómez-Castellano, Manuel
A1 Sabonet-Morente, Lorena
A1 Jiménez-López-, Jesus Salvador
A1 De-Miguel-Luken, Verónica
A1 Jiménez-López, Jesús Salvador
K1 Cesárea
K1 Utero - Hemorragia - Prevención
AB Cesarean sections are the most common abdominal surgical interventions worldwide, with increasingrates in both developed and developing countries. Postpartum (hemorrhage PPH) during cesarean sections canlead to maternal morbidity, prolonged hospital stays, and increased mortality rates. Although various non-surgicalmeasures have been recommended for PPH prevention, surgical techniques such as uterine artery ligation andembolization have been used to manage PPH effectively.Objective This study aimed to evaluate the effectiveness of a surgical technique based on the temporary bilateralclamping of uterine arteries to reduce blood loss during cesarean sections.Methods A longitudinal prospective, randomized, controlled study was conducted with a preliminary populationgroup of 180 patients at the University Hospital Regional de Málaga from November 2023 to January 2024. The studyprotocol was approved by the Ethics Committee of the Regional University Hospital of Malaga (protocol 1729-N-23and registred with ISRCTN15307819|| http://www.isrctn.org/, Date submitted 12 June 2023 ISRCTN 15307819). Thepatients were divided into two groups based on whether the clamping technique was applied during their cesareansections. The study assessed hemoglobin levels before and after surgery, hospitalization durations, and t he prevalenceof anemia at discharge as the primary outcomes.Results The patients who underwent the clamping technique demonstrated significant reductions in hemoglobindifferences (0.80 g/dL) compared to the control group (1.42 g/dL). The technique also resulted in shorter hospitalstays (3.02 days vs. 3.90 days) and a lower prevalence of anemia at discharge (76.2% vs. 60%).Conclusion Temporary clamping of uterine arteries during cesarean sections appears to be an effective measurefor preventing postpartum hemorrhaging, reducing hospital stays, and decreasing the prevalence of anemia at discharge. Further research with larger sample sizes and standardized indications is warranted to confirm the benefitsand potential broader applications of this technique. Trial registration ISRCTN 15,307,819
PB Springer Nature
SN 1471-2393
YR 2024
FD 2024-09-19
LK https://hdl.handle.net/10630/44659
UL https://hdl.handle.net/10630/44659
LA eng
NO Gómez-Castellano M, Sabonet-Morente L, López-Zambrano MA, de Miguel-Luken V, Jiménez-López JS. Temporary clamping of the uterine arteries versus coventional technique for the prevention of postpartum hemorrage during cesarean section: a randomized controlled trial study. BMC Pregnancy Childbirth. 2024 Sep 19;24(1):608. doi: 10.1186/s12884-024-06799-z. PMID: 39300367; PMCID: PMC11414151.
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 3 mar 2026