Outcome Of B-Lynch Application In Patients With Post-Partum Hemorrhage Following Cesarean Section

J Ayub Med Coll Abbottabad. 2023 Oct-Dec;35(4):650-653. doi: 10.55519/JAMC-04-12198.

Abstract

Background: The most common cause of post partum hemorrhage after a cesarean section is uterine atony.

Aims and objective: The main aim of this study was to examine the outcomes of the B-Lynch procedure in patients who experienced primary PPH after cesarean section.

Methods: This study spanned one year, from August 2020 to August 2021, at Ayub Teaching Hospital. Patients who developed post-partum hemorrhage after a cesarean section were enrolled in this study and a thorough review of their records was conducted to identify those who received B-Lynch sutures and assess the resulting outcomes.

Results: Out of the 87 patients who experienced PPH, 24 (27.6%) patients received the B-Lynch procedure. Among these 24 patients, only two (8.3%) needed hysterectomy, while the remaining 22 successfully recovered after receiving the B-Lynch procedure.

Conclusions: The B-Lynch technique proves to be a safe, effective, and easily applicable method for stopping hemorrhage in patients who experienced significant initial postpartum hemorrhage due to uterine atony.

Keywords: B.lynch, Primary PPH, B.lynch during C-section.

MeSH terms

  • Cesarean Section / adverse effects
  • Female
  • Humans
  • Postpartum Hemorrhage* / etiology
  • Postpartum Hemorrhage* / surgery
  • Postpartum Period
  • Pregnancy
  • Retrospective Studies
  • Suture Techniques / adverse effects
  • Uterine Inertia* / etiology
  • Uterine Inertia* / surgery