{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:10:08Z","timestamp":1756285808705,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,11,17]]},"abstract":"<jats:p>A 30-year-old, 39\u2005weeks pregnant, multiparous woman with single fetus, attended our obstetric clinic with complete cervical dilation in intractable mentum anterior presentation. The fetus was delivered by caesarean section with vertical uterine incision under general anaesthesia and lithotomy position. After surgery, examination of the vagina revealed multiple, serious tears with severe haemorrhage. Vaginal bleeding could not be controlled by sutures and concurrently uterine atony developed, which could not be controlled with medical treatment. Owing to intractable bleeding from uterus and vagina, a complete tamponade system was used. After the instillation of the uterine balloon with 500\u2005mL and vaginal balloon with 300\u2005mL liquid, the bleeding was controlled. The estimated blood loss was 3200\u2005mL. The vaginal wound healed well during the postoperative 2\u2005weeks. A complete tamponade system may be an effective treatment method for treatment of postpartum haemorrhage owing to vaginal lacerations and uterine atony.<\/jats:p>","DOI":"10.1136\/bcr-2014-205872","type":"journal-article","created":{"date-parts":[[2014,12,1]],"date-time":"2014-12-01T12:22:00Z","timestamp":1417436520000},"page":"bcr2014205872","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Complete tamponade system for management of severe postpartum vaginal haemorrhage due to uterine atony"],"prefix":"10.1136","volume":"2014","author":[{"given":"Remzi","family":"Atilgan","sequence":"first","affiliation":[{"name":"F\u0131rat University, Elazig, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zehra Sema","family":"Ozkan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, F\u0131rat University Faculty of Medicine, Elazig, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ugur","family":"Orak","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, F\u0131rat University Faculty of Medicine, Elazig, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melike","family":"Baspinar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, F\u0131rat University Faculty of Medicine, Elazig, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,12,1]]},"reference":[{"key":"2025082701352798000_2014.dec01_1.bcr2014205872.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2010.02309.x"},{"key":"2025082701352798000_2014.dec01_1.bcr2014205872.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogrm.2009.01.005"},{"key":"2025082701352798000_2014.dec01_1.bcr2014205872.3","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/S0889-8545(21)00180-7","article-title":"Puerperal emergency. Vaginal and vulvar hematomas","volume":"22","author":"Ridgway","year":"1995","journal-title":"Obstet Gynecol Clin North Am"},{"key":"2025082701352798000_2014.dec01_1.bcr2014205872.4","first-page":"1145","article-title":"Care during the third stage of labour","volume-title":"Effective care in pregnancy and childbirth","volume":"2","author":"Prendiville","year":"1989"},{"key":"2025082701352798000_2014.dec01_1.bcr2014205872.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01278.x"},{"key":"2025082701352798000_2014.dec01_1.bcr2014205872.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.03.052"},{"key":"2025082701352798000_2014.dec01_1.bcr2014205872.7","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200206000-00005"},{"key":"2025082701352798000_2014.dec01_1.bcr2014205872.8","doi-asserted-by":"publisher","DOI":"10.1159\/000339931"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-205872","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:35:40Z","timestamp":1756283740000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-205872"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,1]]},"references-count":8,"alternative-id":["10.1136\/bcr-2014-205872"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-205872","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,12,1]]}}}