A STUDY OF ASHOK ANAND SUTURE IN REDUCING LOWER SEGMENT BLOOD LOSS AND PREVENTING OBSTETRIC HYSTERECTOMY IN MAJOR PLACENTA PRAEVIA CASES

Dr. E.VIJAYALAKSHMI; Dr. K.LAVANYA

Volume : X, Issue : VIII, August - 2020

A STUDY OF ASHOK ANAND SUTURE IN REDUCING LOWER SEGMENT BLOOD LOSS AND PREVENTING OBSTETRIC HYSTERECTOMY IN MAJOR PLACENTA PRAEVIA CASES

Dr. E. Vijayalakshmi, Dr. K. Lavanya

Abstract :

Introduction: To avoid the need for blood transfusions and hysterectomy in cases of placenta praevia during caesarean section delivery by a simple innovative technique developed by Dr ASHOK ANAND called Ashok Anand’s stitch. Methods: This stitch is based on the reasoning that taking the stitch bilaterally occludes the collaterals and secures hemostasis as they are the end arteries supplying lower segment .Sample size: 22 cases in each study group. Blood loss was estimated by standardized visual method (fixed container and mop). Results: By applying this technique in 22 cases, there was significant reduction in the blood loss and caeserian hysterectomy compared to control group. Conclusions: Ashok Anand’s stitch is a simple and effective technique in controlling lower segment bleeding in cases of placenta praevia during caesarean section thus avoiding the need for blood transfusions and obstetric hysterectomy. The technique is easy to apply, less invasive and simple.