Postpartum Hemorrhage and the COMOC-MG Technique: A Strategic Response to Maternal Mortality in Sub-Saharan Africa
DOI:
https://doi.org/10.69614/ejrh.v18i02.990Keywords:
B-Lynch suture, COMOC-MG, Postpartum hemorrhage, Maternal mortality, Uterine atonyAbstract
Postpartum hemorrhage (PPH) remains the leading cause of maternal mortality worldwide, with sub-Saharan Africa experiencing the highest burden due to limited resources, delayed recognition, and inadequate response to obstetric emergencies. Cesarean delivery significantly increases the risk of PPH, particularly in high-risk patients with conditions such as placenta previa, uterine myomas, anemia, and multiple prior cesarean sections. Despite existing clinical guidelines and advances in medical and surgical interventions, implementation gaps continue to result in preventable maternal deaths. This article presents a case series involving seven high-risk obstetric patients who experienced atonic PPH during cesarean delivery. The findings underscore the critical need for timely, scalable, and evidence-based interventions to address PPH in resource-limited environments. The COMOC-MG technique presents a promising, cost-effective solution that can be integrated into obstetric emergency protocols to reduce maternal mortality and improve surgical outcomes across sub-Saharan Africa.
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