Uterine compression sutures: Surgical management of postpartum hemorrhage

R. G. Hayman, S. Arulkumaran, P. J. Steer

Research output: Contribution to journalArticle

245 Citations (Scopus)

Abstract

BACKGROUND: It has been estimated that worldwide, over 125,000 women die of postpartum hemorrhage each year. The traditional management of this condition includes the use of oxytocics, such as oxytocin, ergometrine, and prostaglandins, before proceeding to ligation of the internal iliac arteries and even hysterectomy. The B-Lynch technique is a surgical procedure that may be used to arrest postpartum hemorrhage resulting from uterine atony. CASES: This paper describes simple modifications of this technique that make this procedure less complex to perform. Three clinical case scenarios illustrate the context in which the sutures may be used. CONCLUSION: Compression sutures placed into the postpartum uterus may provide a simple first surgical step to control bleeding when routine oxytocic measures have failed. We suggest that the technique we have described is a simple procedure and should be tried before more complex interventions are used.

Original languageEnglish
Pages (from-to)502-506
Number of pages5
JournalObstetrics and Gynecology
Volume99
Issue number3
DOIs
Publication statusPublished - 2002

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