A Clinical Study of Effectiveness of B-Lynch Sutures to Control Postpartum Hemorrhage [PPH] in the Atonic Uteriand Their Outcome
Journal Title: Saudi Journal of Medicine - Year 2018, Vol 3, Issue 5
Abstract
Abstract:Postpartum Hemorrhage in atonic uterus with ‘C’ section is an important complication and commonly encountered condition. We in the present study tried to evaluate the effectiveness of B-Lynch suture to control PPH in atonic uterus. The study was conducted on n=100 patients in the Department of Obstetrics & Gynecology, Rajiv Gandhi Institute of Medical Sciences [RIMS] Adilabad during Feb 2016 to Dec 2017. 50% of patients were in age groups 20-25 years and 26% belonged to age groups 25-30 yrs and 24% were in the age group of 30- 35 yrs. Primigravida was in 75% of the cases and 25% of cases were second gravid. Hydramnios was present in 20% of cases PET was in 25% of cases, prolonged labour was in 30% of cases and Previous LSCS and PET was present in 25% of cases each. In 76% of cases no blood transfusion was required, 15% of cases required 1 unit blood transfusion, and 9% required 2 units’ blood transfusions. The complications due the procedure were nil and mortality was nil. Conclusion: The B-Lynch suture is still one of the best methods to control Postpartum Hemorrhage PPH in atonic bladder especially in low resource settings. If used properly it can control PPH without need of blood transfusions and complications and the procedure also preserves the uterus functions and future fertility. Keywords:B-Lynch Sutures, Postpartum Hemorrhage,atonic uterus.
Authors and Affiliations
K. Rama, Sushma Boose Reddy
Keywords
Related Articles
- EP ID EP399629
- DOI -
- Views 57
- Downloads 0
Amit Jain’s Classifications for Diabetic Foot Classifications
Abstract:There are numerous classifications on diabetic foot available today but only few are used. Each classification has its own merit and demerits. This article classifies the diabetic foot classifications to make ou...
Study of Nerve Conduction Parameters of Common Peroneal Nerve from Tibialis Anterior Muscle in Neuropathic Patients
Abstract:Nerve conduction study (NCS) measures how quickly electrical signals move through peripheral nerve. It is used to assess peripheral nerve dysfunction thus diagnose the types of neuropathy, and nerve damage. The...
Sarcoidosiswith Splenic Involvement: Two Case Reports from a Single Centre from Northern Sri Lanka
Abstract: Splenic sarcoidosis is a rare clinical entity which can have heterogeneous clinical presentation. We highlight two different clinical encounters of splenic sarcoidosis with coexistent pulmonary sarcoidosis, whi...
Full Thoracoscopic Resection of Mediastinal Bronchogenic Cyst in Adult
Abstract:Bronchogenic cyst (BC) are rare tumours in the mediastinum, but well known to thoracic surgeon. We report a case of symptomatic mediastinal bronchogenic cyst (MBC) in adult who operated on by full thoracoscopy,...
To Assess the Sensitivity and Positive Productive Value of Cerebellar Signs in Persons with Known Cerebellar Disorder
Abstract:There is need for more of scientific studies on the validity of traditional neurological teaching of clinical sign. Many textbook mention several cerebellar signs, but what the evidence base for these mention st...