Experience of using tight uterus bandage in complex therapy of hypotonic bleeding in the postpartum period
Kurtser М.А., Fedorets A.V., Shalina R.I., Kutakova Yu.Yu., Breslav I.Yu., Akhmedova M.A., Karaganova E.Ya., Evloeva M.Sh.
Objective: To identify the potential of using the method of tight bandaging of the uterus in the complex treatment for hypotonic bleeding.
Materials and methods: This was a comparative study that included 12 patients with hypotonic bleeding who were divided into 2 groups of 6 people each. The patients of the main group had tight uterine bandaging that was used as a part of complex therapy along with traditional methods of hemostasis. The patients of the comparison group underwent treatment with standard methods without bandaging. The volume of blood loss, the need for invasive interventions, and outcomes were compared.
Results: The total blood loss was 1200–2500 ml in the main group, and it was 2600–3500 ml in the comparison group. Tight bandaging provided a temporary or permanent cessation of bleeding, and in some cases it prevented embolization of the uterine arteries and repeated surgical interventions. All patients of the main group had their uterus preserved; there were no complications related to the bandaging technique. The method proved to be effective and available in the absence of advanced technologies.
Conclusion: Tight bandaging of the uterus as a part of complex treatment for hypotonic bleeding helps to reduce blood loss, decrease the number of invasive procedures and preserve reproductive potential; therefore, this method can be recommended in providing obstetric care in hospitals at various levels.
Authors’ contributions: Kurtzer M.A. – developing the concept of the study, editing the article; Shalina R.I., Breslav I.Yu., Kutakova Yu.Yu. – developing the concept of the study, editing the article; Fedorets A.V. – collecting and processing the material, writing the text, editing the text; Akhmedova M.A. – collecting and processing the material, writing the text; Evloeva M.Sh. – writing the text; Karaganova E.Ya. – collecting and processing the material.
Conflicts of interest: The authors declare no possible conflicts of interest.
Funding: The study was conducted without sponsorship.
Patient Consent for Publication: The patients signed informed consent for the publication of their data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Kurtser М.А., Fedorets A.V., Shalina R.I., Kutakova Yu.Yu., Breslav I.Yu.,
Akhmedova M.A., Karaganova E.Ya., Evloeva M.Sh. Experience of using tight uterus bandage in
complex therapy of hypotonic bleeding in the postpartum period.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2025; (11): 142-148 (in Russian)
https://dx.doi.org/10.18565/aig.2025.207
Keywords
tight bandaging of the uterus
hemostasis
massive postpartum bleeding
hypotonic bleeding
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Received 30.07.2025
Accepted 26.08.2025
About the Authors
Mark A. Kurtser, Dr. Med. Sci., Professor, Academician of the Russian Academy of Sciences, Head of the Department of Obstetrics and Gynecology namedafter Academician G.M. Savelyeva IMC, Pirogov RNRMU, Ministry of Health of Russia, 117513, Russia, Moscow, Ostrovityanov str., 1, +7(495)718-34-72,
m.kurtser@mcclinics.ru, https://orcid.org/0000-0003-0175-1968
Alina V. Fedorets, Resident at the Department of Obstetrics and Gynecology named after Academician G.M. Savelyeva IMC, Pirogov RNRMU, Ministry of Health of Russia, 117513, Russia, Moscow, Ostrovityanov str., 1, +7(978)721-74-67, alinka_fedorec96@mail.ru, https://orcid.org/0000-0001-6079-1527
Raisa I. Shalina, Dr. Med. Sci., Professor, Department of Obstetrics and Gynecology named after Academician G.M. Savelyeva IMC, N.I. Pirogov RNRMU, Ministry of Health
of Russia, 117513, Russia, Moscow, Ostrovityanov str., 1, +7(495)718-34-72, shalina_ri@rsmu.ru, https://orcid.org/0000-0001-7121-1663
Yulia Yu. Kutakova, PhD, Medical director for organizational and scientific-educational work, Mother and Child Group of Companies, 117209, Russia, Moscow,
Sevastopolsky Ave., 24, bld. 1, +7(495)526-61-61 y.kutakova@mcclinics.ru, https://orcid.org/0000-0002-4273-4788
Irina Yu. Breslav, Dr. Med. Sci., Professor, Department of Obstetrics and Gynecology named after Academician G.M. Savelyeva IMC, N.I. Pirogov RNRMU, Ministry of Health of Russia, 117513, Russia, Moscow, Ostrovityanov str., 1, +7(495)719-78-96, irina_breslav@mail.ru, https://orcid.org/0000-0002-0245-4968
Madina A. Akhmedova, Resident at the Department of Obstetrics and Gynecology named after Academician G.M. Savelyeva IMC, Pirogov RNRMU, Ministry of Health
of Russia, 117513, Russia, Moscow, Ostrovityanov str., 1, +7(963)962-06-36, madina.akhmedova96@inbox.ru, https://orcid.org/0009-0008-5251-5571
Elena Ya. Karaganova, PhD, Associate Professor at the Department of Obstetrics and Gynecology named after Academician G.M. Savelyeva IMD, Pirogov RNRMU,
Ministry of Health of Russia, 117513, Russia, Moscow, Ostrovityanov str., 1, +7(495)153-88-52, karaganova22@gmail.com, https://orcid.org/ 0000-0002-3199-4867
Milana Sh. Evloeva, Resident at the Department of Obstetrics and Gynecology named after Academician G.M. Savelyeva IMC, Pirogov RNRMU, Ministry of Health of Russia, 117513, Russia, Moscow, Ostrovityanov str., 1, milanalananaa@icloud.com, +7(926)541-74-77, https://orcid.org/0009-0009-1006-7122
Corresponding author: Alina V. Fedorets, alinka_fedorec96@mail.ru
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