beta-lynch suture for the management of postpartum haemorrhage: an experience at Peoples Medical College Hospital

ABSTRACT

To report our clinical experience of the effectiveness and safety of applying beta-lynch suture for the management of primary postpartum haemorrhage. An observational, cross-sectional study. This study was conducted at the Department of Obstetrics and Gynaecology at Peoples Medical College Hospital Nawabshah from 1[st] January 2009 to 30 [th] June 2010. All the patients of primary postpartum haemorrhage in whom compression and conventional ecobolic had failed to achieve uterine contraction and haemostasis were subjected to beta-lynch suture. beta-lynch suture technique was applied in 33 patients, in 22 patients after vaginal delivery and in 11 patients at the time of cesarean section. This technique was successful in 31 [93.94%] patients and failed in only 2 [6.1%]. Patients who were proceeded to hysterectomy, none of the patient had infection. beta-lynch suture compresses and envelopes the uterus and manages massive life threatening postpartum haemorrhage successfully. It is effective, simple and fertility conserving procedure