Cervical clamping: An innovative adjunct for management of postpartum haemorrhage

Postpartum haemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide. Traditional methods for acute management, such as uterotonics, uterine massage, and surgical interventions, may prove insufficient, prompting the search for alternative techniques. This article reviews the innovative use of cervical clamping as an adjunct to the critical first line care of patients with PPH, evaluating its efficacy, safety, and potential future implications1. The review highlights how mechanical pressure to the cervix may facilitate innate physiological reflexes to improve uterine contraction, promising a noninvasive alternative to control severe obstetric bleeding. The findings suggest that cervical clamping could be particularly beneficial in resource-limited settings where pharmacological and advanced surgical options are not readily available2.

Authors

Publication Details

Journal
Sri Lanka Journal of Obstetrics and Gynaecology
Published
2024-11-06
DOI
https://doi.org/10.4038/sljog.v46i3.8173
Primary Topic
Maternal and fetal healthcare
Type
article
Field-Weighted Citation Impact
0.00
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article

Cervical clamping: An innovative adjunct for management of postpartum haemorrhage

Carmela Calandra, Andrea Miller, S. H. Dodampahala, B. McCully
Sri Lanka Journal of Obstetrics and Gynaecology
Maternal and fetal healthcare
article

Cervical clamping: An innovative adjunct for management of postpartum haemorrhage

Carmela Calandra, Andrea Miller, S. H. Dodampahala, B. McCully
article en

Abstract

Postpartum haemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide. Traditional methods for acute management, such as uterotonics, uterine massage, and surgical interventions, may prove insufficient, prompting the search for alternative techniques. This article reviews the innovative use of cervical clamping as an adjunct to the critical first line care of patients with PPH, evaluating its efficacy, safety, and potential future implications1. The review highlights how mechanical pressure to the cervix may facilitate innate physiological reflexes to improve uterine contraction, promising a noninvasive alternative to control severe obstetric bleeding. The findings suggest that cervical clamping could be particularly beneficial in resource-limited settings where pharmacological and advanced surgical options are not readily available2.

Sri Lanka Journal of Obstetrics and GynaecologyVol. 46(3)
Good health and well-being
Openalex Percentile: Top 69%
Maternal and fetal healthcare
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