{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T19:56:57Z","timestamp":1785182217578,"version":"3.55.0"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,10]],"date-time":"2019-12-10T00:00:00Z","timestamp":1575936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the effectiveness of prophylactic bilateral uterine artery ligation (<jats:styled-content style=\"fixed-case\">BUAL<\/jats:styled-content>) in reducing the incidence of postpartum hemorrhage (<jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>) during cesarean delivery among women at risk of uterine atony.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized clinical trial at Cairo University Maternity Hospital, Egypt, from December 2017 to December 2018. Women at risk of uterine atony undergoing scheduled or emergency cesarean were randomized to two groups. In the <jats:styled-content style=\"fixed-case\">BUAL<\/jats:styled-content> group, women underwent <jats:styled-content style=\"fixed-case\">BUAL<\/jats:styled-content> before placental delivery; in the control group, women had cesarean delivery without <jats:styled-content style=\"fixed-case\">BUAL<\/jats:styled-content>. The primary outcome was the estimated blood loss during cesarean.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Intraoperative blood loss during cesarean was significantly lower in the <jats:styled-content style=\"fixed-case\">BUAL<\/jats:styled-content> group than in the control group (523.4\u00a0\u00b1\u00a041.0 vs 619.6\u00a0\u00b1\u00a036.1\u00a0mL; <jats:italic>P<\/jats:italic>=0.003). Blood loss in the first 6\u00a0hours after cesarean was also significantly lower in the <jats:styled-content style=\"fixed-case\">BUAL<\/jats:styled-content> group than in the control group (246.1\u00a0\u00b1\u00a021.4 vs 326.1\u00a0\u00b1\u00a018.5\u00a0<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>;<jats:italic> P<\/jats:italic>=0.006). There was no difference in operative time between the two groups (52.1\u00a0\u00b1\u00a06.1 vs 52.2\u00a0\u00b1\u00a06.8, <jats:italic>P<\/jats:italic>=0.880).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">BUAL<\/jats:styled-content> during cesarean was found to be an effective method for decreasing blood loss during and after cesarean delivery among women at risk of uterine atony and subsequent <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>ClinicalTrials.gov: NCT03591679<\/jats:title><\/jats:sec>","DOI":"10.1002\/ijgo.13064","type":"journal-article","created":{"date-parts":[[2019,11,22]],"date-time":"2019-11-22T12:35:09Z","timestamp":1574426109000},"page":"219-224","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["RETRACTED: Randomized controlled trial of the effect of bilateral uterine artery ligation during cesarean among women at risk of uterine atony"],"prefix":"10.1002","volume":"148","author":[{"given":"Ahmed","family":"Samy","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed K.","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Assiut University  Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed M.","family":"Abbas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Assiut University  Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hala A.","family":"Wahab","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed A.","family":"Wali","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aml H.","family":"Hussien","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona","family":"Mostafa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad A.","family":"Taymour","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asmaa I.","family":"Ogila","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yahia","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimy","family":"Essam","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.medin.2016.02.010"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0b013e328014a860"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0221216"},{"key":"e_1_2_8_5_1","first-page":"442","article-title":"Postpartum hemorrhage: Prevention and treatment","volume":"95","author":"Evensen A","year":"2017","journal-title":"Am Fam Physician"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2018.10.023"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000016780"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/den049"},{"key":"e_1_2_8_9_1","first-page":"950","article-title":"Bilateral ascending uterine artery ligation vs. tourniquet use for hemostasis in cesarean myomectomy. 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