Intraoperative uterine packing with mops: an effective, but under utilized method of controlling post partum haemorrhage-experience from South Eastern Nigeria.

BACKGROUND

Uterine packing is a simple noninvasive technique for controlling postpartum haemorrhage. However, its effectiveness has been underestimated and the procedure underutilized leading to lack of experience and expertise especially in the intraoperative usage of mops. The aim of the study was to re-evaluate the significance of intraoperative uterine packing in controlling post partum haemorrhage and preserving menstrual and reproductive functions.

METHOD: Twenty cases of intraoperative uterine packing with mops performed by the authors over a three-year period (December 2000-December 2003) at three different hospitals were reviewed. Mops were removed after 24 hours.

RESULTS

The mean age of the patients was 28.9 +/- 5.6 years, and the mean parity 3.1 +/- 1.8. The mean estimated blood loss was 1500 + 461.1 millilitres and the mean number of units of blood transfused was 1.45 + 1.2. The commonest indication for surgery was placenta praevia (55%). None needed further treatment.

CONCLUSION

In carefully selected cases, intraoperative uterine packing is a simple and effective life saving option in our local environment with peculiar beliefs, lack of equipment and expertise.