Obstetrics & Gynecology

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Obstetrics & Gynecology:
Obstetrics

B‐LYNCH SUTURE FOR POSTPARTUM HEMORRHAGE

Ferguson, J. E. II MD; Bourgeois, F. John MD; Underwood, Paul B. Jr MD

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Abstract

Background: Postpartum hemorrhage is a major contributor to maternal morbidity and mortality. Numerous medical and surgical therapies have been used, but none has been uniformly successful.

Case: Two women with postpartum hemorrhage due to uterine atony after cesarean for twins are presented. Neither responded to medical management. In the first subject, O'Leary uterine artery ligation and utero-ovarian branch ligations were done without benefit. The B-Lynch suture immediately sustained correction of hemorrhage in both subjects. Magnetic resonance imaging and hysterosalpingogram after the first case showed no uterine defects.

Conclusion: The B-Lynch suture might be a valuable addition to the surgical treatment of postpartum hemorrhage due to uterine atony.

Postpartum hemorrhage is a significant contributor to maternal morbidity and is responsible for up to 30% of maternal deaths in developing nations.1 A variety of medical and surgical techniques have been used to control bleeding in postpartum hemorrhage. Recently, the B-Lynch technique, a suture that envelops and compresses the uterus, was described.2 We treated two women with postpartum hemorrhage due to uterine atony after cesareans for twins. The B-Lynch suture immediately controlled bleeding in both cases.

© 2000 The American College of Obstetricians and Gynecologists

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