2026-05-27T05:29:59Zhttps://riuma.uma.es/rest/oai/requestoai:riuma.uma.es:10630/446592026-02-03T10:50:33Zcom_10630_2254col_10630_37953
RIUMA. Repositorio Institucional de la Universidad de Málaga
author
Gómez-Castellano, Manuel
author
Sabonet-Morente, Lorena
author
Jiménez-López-, Jesus Salvador
author
De-Miguel-Luken, Verónica
author
Jiménez-López, Jesús Salvador
2026-01-20T11:59:08Z
2024-09-19
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.
1471-2393
https://hdl.handle.net/10630/44659
10.1186/s12884-024-06799-z
Cesarean sections are the most common abdominal surgical interventions worldwide, with increasing
rates in both developed and developing countries. Postpartum (hemorrhage PPH) during cesarean sections can
lead to maternal morbidity, prolonged hospital stays, and increased mortality rates. Although various non-surgical
measures have been recommended for PPH prevention, surgical techniques such as uterine artery ligation and
embolization have been used to manage PPH effectively.
Objective This study aimed to evaluate the effectiveness of a surgical technique based on the temporary bilateral
clamping of uterine arteries to reduce blood loss during cesarean sections.
Methods A longitudinal prospective, randomized, controlled study was conducted with a preliminary population
group of 180 patients at the University Hospital Regional de Málaga from November 2023 to January 2024. The study
protocol was approved by the Ethics Committee of the Regional University Hospital of Malaga (protocol 1729-N-23
and registred with ISRCTN15307819|| http://www.isrctn.org/, Date submitted 12 June 2023 ISRCTN 15307819). The
patients were divided into two groups based on whether the clamping technique was applied during their cesarean
sections. The study assessed hemoglobin levels before and after surgery, hospitalization durations, and t he prevalence
of anemia at discharge as the primary outcomes.
Results The patients who underwent the clamping technique demonstrated significant reductions in hemoglobin
differences (0.80 g/dL) compared to the control group (1.42 g/dL). The technique also resulted in shorter hospital
stays (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 measure
for 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 benefits
and potential broader applications of this technique. Trial registration ISRCTN 15,307,819
eng
Attribution-NonCommercial-NoDerivatives 4.0 International
Cesárea
Utero - Hemorragia - Prevención
Temporary clamping of the uterine arteries versus coventional technique for the prevention of postpartum hemorrage during cesarean section: a randomized controlled trial study.
journal article
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