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


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.

The B-Lynch suture is technically simple and might be a valuable addition to the surgical treatment of postpartum hemorrhage.

Department of Obstetrics and Gynecology, University of Virginia School of Medicine, Charlottesville, Virginia.

Address reprint requests to: J. E. Ferguson, II, MD Department of Obstetrics and Gynecology University Virginia School of Medicine PO Box 10016 Charlottesville, VA 22906 E-mail:

Received July 13, 1999. Received in revised form September 10, 1999. Accepted October 1, 1999.

© 2000 The American College of Obstetricians and Gynecologists