RGUHS Nat. J. Pub. Heal. Sci Vol: 14 Issue: 4 eISSN: pISSN
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Geeta Shivamurthy1 , Ashakiran T R . 2
1Professor of Obstetrics & Gynaecology,
2Senior Resident in OBG, Bangalore Medical College and Research Institute, Bangalore
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.
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