NDLI: Complications and pregnancy outcome following uterine compression suture for postpartum haemorrhage: a single centre experience.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Liu, S. Mathur, M. Tagore, S.
Description	Country affiliation: Singapore Author Affiliation: Liu S ( Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital , Singapore.)
Abstract	In the treatment of postpartum haemorrhage from uterine atony, uterine compression sutures, such as the B-Lynch suture and its modifications have a role with the advantage of preservation of the uterus for fertility. There is however, a risk that apposition of the anterior and posterior walls of the uterus will impede drainage of lochia, resulting in undesirable complications. We undertook a five-year retrospective study of all women who underwent uterine compression sutures at the KK Women's and Children's Hospital, between 2008 and 2012. In total, 23 women had uterine compression sutures during the study period, of which, nineteen women managed to conserve their uterus. Our complication rate was 25%, which included persistent vaginal discharge, pyometra and endometritis. There were three conceptions, with two successful pregnancies. Our study shows uterine compression suture to be a safe and effective alternative to avoid hysterectomy with preservation of fertility at the time of major postpartum haemorrhage. The outcome of subsequent pregnancies is reassuring.
File Format	HTM / HTML
ISSN	01443615
Issue Number	5
Volume Number	34
e-ISSN	13646893
Journal	Journal of Obstetrics and Gynaecology
Language	English
Publisher	Taylor & Francis
Publisher Date	2014-07-01
Publisher Place	Great Britain (UK)
Access Restriction	Subscribed
Subject Keyword	Adverse Effects Humans Uterine Inertia Discipline Obstetrics Vaginal Discharge Pyometra Pressure Journal Article Fertility Preservation Pregnancy Young Adult Uterus Hemostatic Techniques Postpartum Hemorrhage Etiology Surgery Adult Female Retrospective Studies Discipline Gynaecology Endometritis Suture Techniques Pregnancy Outcome
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology

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