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OP12.03: Investigation of optimization techniques to prepare ultrasound images for electronic transfer by memory sticks

excluded the patients with the vaginal and cervical laceration and the cases of Cesarean section (27 cases), postpartum hysterectomy (5 cases). At each scan we evaluated the location of bleeding points. If we could not find out the bleeding points, at the first, we grasped deeply the uterine cervix with ring forceps in the direction of 12, 3, 6 and 9 o’ clock. After that we inserted three tablets of misoprostol (cytotec) to the anus and infused uterotonic drugs (oxytocin). When the bleeding focus was at upper segment of the uterus, we could control the bleeding with uterotonic drugs. If the bleeding was from lower segment of the uterus, we could stop the bleeding with grasping the uterine cervix with ring forceps in the direction of 12, 3, 6 and 9 o’ clock and placement of the sutures at the same site. Results: The causes of the bleeding from upper segment of the uterus (15/23, 65%) were placental remnant (9 cases), atonic bleeding (5 cases), uterine inversion (1 case). we could find out the bleeding point in 80% (12/15) on ultrasonographic evaluation and stop bleeding with evacuation, curettage, manual reduction and uterotonic drugs. But we could see the bleeding point in only 25% women (2/8) with bleeding from lower segment of the uterus (8/23, 35%) on ultrasonographic examination. We could control the bleeding in these patients by grasping the cervix with ring forceps in the direction of 12, 3, 6 and 9 o’ clock. Conclusions: We think that ultrasonographic examination is useful method to managing the women with postpartum bleeding, particularly the patients with bleeding from upper segment of the uterus.