The Effectiveness of the B-Lynch Uterine Compression Sutures for Treating the Uncontrollable Postpartum Hemorrhage Following Cesarean Section

Abstract

Objective: To find out the safety and efficacy of B-Lynch suturing technique in controlling of massive intractable postpartum hemorrhage.Study Design: A prospective case controlled study.Place and Duration of Study: Gynecology Department of Services Hospital Lahore and Bahawal Victoria Hospital Bahawalpur from June 2017 to June 2018.Methodology: Forty two patients were selected by nonprobability consecutive sampling technique. Age of the patient, gestational age, parity, cesarean section (elective/emergency) and preoperative Hb were compared between two groups as baseline data. Outcome data included blood lost, pints of packed red cells transfused, days of hospital stay and postoperative Hb. Data was put in SPSS v.23 and analyzed by applying Chi-square test, Mann Whitney U-test and student’s t-test, where appropriate. P-value more than 0.05 was considered insignificant.Results: The difference of age, gestational age, preoperative Hb, parity and the type of cesarean section was not statistically significant (p-value 0.270, 0.220, 0.184, 0.620 and 0.289, respectively). The difference in loss of blood, number of packed RBCs units transfused, number of days of hospital stay and hysterectomy was significantly more in Group O as compared to Group B (p-value being 0.037, 0.045, 0.018 and 0.030 respectively). Postoperative Hb was significantly lower in group O (p<0.001).Conclusion: The method of B-Lynch suture is simple, fast, effective and safe with no apparent adverse effects. This should be made available even in the settings of low resources and all the training centers around the country.

Keywords: Postpartum hemorrhage, cesarean section, B-Lynch suture.