Page 312 - Critical Maternity & Newborn Health Nursing

3. Bilateral ovarian artery ligation then,

4. Bilateral internal iliac artery ligation.

Fig.,(36) Stepwise uterine devascularization adopted from

https://www.uptodate.com/contents/images/OBGYN/99540/Uterine_vessels_after_cesarean.jpg

h. Hysterectomy: Done if all the above measures fail to save the
patient`s life.

Complications:

1-Maternal death in 10% of postpartum hemorrhages.

2-Acute renal failure. 3-Embolism .

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