B-LYNCH SUTURE IN THE MANAGEMENT OF POSTPARTUM HAEMORRHAGE; A CROSS-SECTIONAL STUDY
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Abstract
Objective: To assess the outcome of B-lynch suture in primary postpartum haemorrhage (PPH). Methodology: It was cross sectional study conducted on 38 patients in Obstetrics and Gynaecology unit Lady Reading Hospital (LRH) Peshawar from January, 2017 to December 2018. Women with PPH who failed to respond to first line medical management were selected with consecutive sampling. B lynch was applied by consultant gynaecologist. Success was assessed in terms of control of bleeding. Failure of the procedure was defined as the need for an invasive intervention to control bleeding. Results: Average age of the patients was 27.55 years + 5.9 SD with a range of 18-38 years. Half the participants were less than 25 years old while the other half were above 25 years. Out of them,14 (35%) women were primipara while 26 (65%) were multipara. Uterine atony was the most frequent cause of PPH. B Lynch was effective to control PPH in 38 (100%) patients. Conclusion: B-Lynch can be recommended for controlling PPH and preserving the uterus.
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