{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T04:19:06Z","timestamp":1768969146550,"version":"3.49.0"},"reference-count":25,"publisher":"Walter de Gruyter GmbH","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,9,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2021-0686_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Prove the success of transvaginal hemostatic procedures in treatment of the early postpartum hemorrhage caused by lower uterine segment atony.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2021-0686_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We have conducted a retrospective, clinical study during a 10-year period (2010\u20132019) in our institution that is tertiary perinatal university center.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2021-0686_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>This particular study enrolled total number of 29,543 deliveries with 215 cases of early postpartum hemorrhage (0.72%). Lower uterine segment atony was diagnosed in 44 cases (29.93%) in all uterine atony cases of early postpartum hemorrhage. Hemostatic ligation procedures according to authors: Losickaja in two cases, Hebisch\u2013Huch in 13 cases, Habek in seven cases, Hebisch-Huch\u00a0+\u00a0Losickaja in 10 cases. According to our results, hemostatic ligation procedures alone (32 cases; 72.72%) or combined with gauze or ballon tamponade (five cases, 11.36%), have shown to be highly effective in 37 cases (84.09%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2021-0686_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Lower uterine segment atony should definitely be identified and understood as a clinical entity. Transvaginal hemostatic approach for surgical treatment of lower uterine segment atony is accessible, minimally invasive, feasible, successful and lifesaving. All of the above-mentioned methods are of great importance in the prevention and treatment of obstetric shock, multiorgan failure, postpartum hysterectomy and finally vital for fertility preservation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2021-0686","type":"journal-article","created":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T08:26:00Z","timestamp":1652084760000},"page":"933-938","source":"Crossref","is-referenced-by-count":3,"title":["Transvaginally surgically treatment of early postpartum hemorrhage caused by lower uterine segment atony"],"prefix":"10.1515","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1304-9279","authenticated-orcid":false,"given":"Dubravko","family":"Habek","sequence":"first","affiliation":[{"name":"University Department of Obstetrics and Gynecology Clinical Hospital \u201cSveti Duh\u201d , School of Medicine Catholic University of Croatia , Zagreb , Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid","family":"Marton","sequence":"additional","affiliation":[{"name":"University Department of Obstetrics and Gynecology Clinical Hospital \u201cSveti Duh\u201d , School of Medicine Catholic University of Croatia , Zagreb , Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matija","family":"Prka","sequence":"additional","affiliation":[{"name":"University Department of Obstetrics and Gynecology Clinical Hospital \u201cSveti Duh\u201d , School of Medicine Catholic University of Croatia , Zagreb , Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Tikvica","family":"Lueti\u0107","sequence":"additional","affiliation":[{"name":"University Department of Obstetrics and Gynecology Clinical Hospital \u201cSveti Duh\u201d , School of Medicine Catholic University of Croatia , Zagreb , Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirjam","family":"Viti\u0107","sequence":"additional","affiliation":[{"name":"University Department of Obstetrics and Gynecology Clinical Hospital \u201cSveti Duh\u201d , School of Medicine Catholic University of Croatia , Zagreb , Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Marija","family":"Jurkovi\u0107","sequence":"additional","affiliation":[{"name":"University Department of Obstetrics and Gynecology Clinical Hospital \u201cSveti Duh\u201d , School of Medicine Catholic University of Croatia , Zagreb , Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2022,5,9]]},"reference":[{"key":"2023040100081899174_j_jpm-2021-0686_ref_001","doi-asserted-by":"crossref","unstructured":"Kallianidis, AF, Maraschini, A, Danis, J, Colmorn, LB, Deneux-Tharaux, C, Donati, S, et al.. 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