Article

JOURNAL MENU
Cover
Journal Cover Page

RGUHS Nat. J. Pub. Heal. Sci Vol: 14  Issue: 2 eISSN:  pISSN

Original Article

Use of B-Lynch Suture in Management of Primary Postpartum Hemorrhage due to Uterine atony during Caesarean Section with failed Medical Management

Geeta Shivamurthy1 , Ashakiran T R . 2

 

1Professor of Obstetrics & Gynaecology,

2Senior Resident in OBG, Bangalore Medical College and Research Institute, Bangalore 

Year: 2011, Volume: 1, Issue: 3, Page no. 10-14,
Views: 601, Downloads: 5
Licensing Information:
CC BY NC 4.0 ICON
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0.
Abstract

Objectives: To determine the efficacy of B-Lynch suture in the management of PPH secondary to uterine atony, and to assess the advantage of timely application of B-Lynch suture in uncontrolled PPH. Material and methods: The present study was conducted at Vani Vilas and Bowring and Lady Curzon Hospitals, attached to Bangalore Medical College and Research Institute, between Nov 2007 and Sept 2009. Study design: A prospective non randomized observational study consisting of 50 pregnant women with risk factors for atonic postpartum hemorrhage (PPH) who were posted for emergency LSCS, constituted the study group. Results: Majority had blood loss in the range 1001-1500 ml i.e. around 54% which can be attributed to timely application of B-Lynch suture. The mean blood loss was 1495ml. The mean difference in pre and post procedure was 1.08gm% with a significant p value of <0.001 reflecting that timely application of B-Lynch suture reduced blood loss and hence decrease in post procedure Hb%. Conclusion: Our initial series of cases of PPH treated with B-Lynch procedure shows that it is an effective method of controlling PPH. It should be attempted as early as possible in order to maximize its success and prophylactic application should always be considered in patients at risk for atonic PPH.

<p>Objectives: To determine the efficacy of B-Lynch suture in the management of PPH secondary to uterine atony, and to assess the advantage of timely application of B-Lynch suture in uncontrolled PPH. Material and methods: The present study was conducted at Vani Vilas and Bowring and Lady Curzon Hospitals, attached to Bangalore Medical College and Research Institute, between Nov 2007 and Sept 2009. Study design: A prospective non randomized observational study consisting of 50 pregnant women with risk factors for atonic postpartum hemorrhage (PPH) who were posted for emergency LSCS, constituted the study group. Results: Majority had blood loss in the range 1001-1500 ml i.e. around 54% which can be attributed to timely application of B-Lynch suture. The mean blood loss was 1495ml. The mean difference in pre and post procedure was 1.08gm% with a significant p value of &lt;0.001 reflecting that timely application of B-Lynch suture reduced blood loss and hence decrease in post procedure Hb%. Conclusion: Our initial series of cases of PPH treated with B-Lynch procedure shows that it is an effective method of controlling PPH. It should be attempted as early as possible in order to maximize its success and prophylactic application should always be considered in patients at risk for atonic PPH.</p>
Keywords
B-Lynch suture, Primary postpartum hemorrhage, uterine atony, Caesarean section
Downloads
  • 1
    FullTextPDF
Article

none

Supporting File
No Pictures
References

none

We use and utilize cookies and other similar technologies necessary to understand, optimize, and improve visitor's experience in our site. By continuing to use our site you agree to our Cookies, Privacy and Terms of Use Policies.