Mahnaaz Roohi, Robina Ali.
Primary Atonic Postpartum Hemorrhage (PPH); conservative surgical approach.
Professional Med J Jan ;11(2):181-5.

Excessive bleeding after childbirth is a major cause of compression maternal morbidity and mortality in both industrialized and non industrialized countries. Role of (B-lynch) suture in this context is new in the management of serious postpartum atonic uterine hemorrhage and needed to be studied. Design: Prospective. Period: From Jan 2002 to June 2003. Setting: Obstetrics & Gynecology Unit-I, Allied Hospital Faisalabad (affiliated with PMC). Patients & Methods: All patients with primary atonic PPH during this period were included where conventional oxytocin had proved ineffective. A simple suture technique B-lynch (brace suture) was used to preserve future fertility. Results: Total 8 cases of serious PPH were managed by simple B-lynch suture. Satisfactory hemostasis was achieved in seven cases and in one patient hysterectomy was done to control hemorrhage. Conclusion: Compression suture placed into the postpartum uterus may provide a simple first surgical step to control bleeding when routine oxytocin measure have failed.

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