Efficacy of B-Lynch Brace Suture in Postpartum Haemorrhage

Abstract

Introduction:  Massive uncontrolled haemorrhage after childbirth is the leading cause of maternal death in developing countries. Postpartum haemorrhage is traditionally defined as blood loss of more than 500 ml after vaginal delivery and more than 1000 ml after cae-sarean section, but intra-operative estimation of blood loss is inaccurate. Uterine atony alone accounts for 75 - 90% of PPH.

Objectives:  To estimate the effectiveness and safety of B-Lynch brace Suture in the management of pri-mary postpartum haemorrhage (PPH). If at all, to asse-ss the complications due to this procedure during the next three days.

Study Design:  Case series descriptive study.

Setting:  Study was carried out in the department of Gynaecology and obstetrics, Unit II, Jinnah Hospital, Lahore.

Duration of Study:  The study was completed in six months from 8 - 6 - 2006 to 8 - 12 - 2006.

Subjects and Methods:  Total sixty patients were included in this study. Condition of the uterus and con-dition of the cervical os was assessed. B-Lynch suture was applied in suitable cases.

Results:  Mean age of the patients was found to be 28.8 ± 4.9. Distributions of successfulness of B-Lynch suture showed 57 (95%) successful patients.10% were stated in the state of shock. 11.7% with eclampsia and 53.3% were presented with fetal distress.

Conclusions:  B-Lynch compression suture is easy to apply and should be considered primary treatment in cases of severe atonic PPH when oxytocic agents fai-led, and before resorting to hysterectomy.

Keywords:  Postpartum haemorrhage, uterine atony, B-Lynch Suture.