215 posters, 5 topics, 22 sessions, 596 authors, 283 institutions
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Obstetric Anaesthesia Annual Scientific Meeting 2025
May 15 - 16, 2025 | ICC, 2 Lanyon Place, Belfast BT1 3WH
6780833
External Aortic Compression in postpartum haemorrhage: evaluating the feasibility of implementation in Wales
Poster Presenter
Part of Topic
Service Evaluation
External Aortic Compression in postpartum haemorrhage: evaluating the feasibility of implementation in Wales.
Introduction
•External Aortic Compression (EXAC) is a technique whereby pressure is applied to the aorta to compress the vessel above the level of the umbilicus against the spine and reduce distal blood flow (image 1)
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•EXAC is included in World Health Organisation recommendations for the prevention and treatment of PPH and the FIGO recommendations on the management of PPH 2022 [1],[2]
•Efficacy of the EXAC technique at reducing distal blood flow in healthy volunteers has been demonstrated [3],[4]
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•Midwifery experience has been positive [5] in Scandinavian settings, were EXAC is integrated into standard PPH care
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•Simple, low cost intervention which may reduce overall bleed volume in PPH [6] although evidence describing the impact of EXAC in PPH is limited to small studies [7]
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•EXAC is not included in current UK guidance, and its introduction would require training and clarity on how it becomes part of PPH management