Experience of bilateral ligation of arteries for massive obstetric hemorrhage

The purpose of this study is to evaluate the effectiveness of bilateral vascular ligation in massive obstetric hemorrhage. Materials and methods of the study: this report discusses 495 cases of stopping massive obstetric hemorrhage during the provision of urgent care through air ambulance in maternity hospitals of the Kyrgyz Republic. Results: bilateral vascular ligation (ligation of uterine and/or internal iliac arteries) and antifibrinolytic therapy were used in all cases to stop massive obstetric hemorrhage. In our observations, out of 495 critical cases with the use of bilateral vascular ligation, 52.5% (261 cases) of operations were completed without removal of the uterus. Also, in cases of hysterectomy (234 cases), bilateral vascular ligation contributed to a decrease in blood loss. Conclusion: bilateral vascular ligation is a safe and relatively simple method for stopping hemorrhage during cesarean section in the context of urgent care for life-threatening hemorrhage