TITLE:
Postpartum Hemorrhage: The Benefits of Preventive Triple Vascular Ligation during Cesarean Section at the N’Djamena University Hospital for Mothers and Children in 2025
AUTHORS:
Sadjoli Damtheou, Gauthier Regis Jostin Buambo, Esdras Juvenal Mbainaissem, Cherif Hawaye, Kheba Foba, Allarehene Noudjalbaye, Samantha Nuelly Bialay Potokoue Mpia, Danmadji Naorgue, Adanao Hissein, Bray Madoue Gabkika, Lhagadang Foumsou, Clautaire Itoua
KEYWORDS:
Postpartum Hemorrhage, Cesarean Section, Vascular Ligations, Prevention, N’Djamena
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.15 No.7,
July
11,
2025
ABSTRACT: Objective: To evaluate the contribution of triple vascular ligation in preventing postpartum hemorrhage due to uterine atony during cesarean section at the N’Djamena University Hospital for Mothers and Children. Patients and Methods: This was a quasi-experimental, intervention/non-intervention, single-center study comparing 106 cesarean sections at risk of postpartum hemorrhage due to uterine atony who underwent triple Tsirulnikov ligation from July 1 to October 31, 2024, and 106 other cesarean sections who did not receive it from January 1 to June 30, 2024. The primary outcome measure was the occurrence of postpartum hemorrhage. The p-value for the probability was considered significant at a value Results: Postpartum hemorrhage accounted for 12.3% of cases (26/212). Triple vascular ligation reduced the risk of postpartum hemorrhage by 70% (3.7% vs. 20.7%; RR = 0.3 [0.05 - 0.45]; p Conclusion: Triple vascular ligation reduces the risk of postpartum hemorrhage during caesarean section, regardless of the patient’s age, though the efficacy varies depending on the risk of hemorrhage.