B lynch suturing in uterine atony during ceasarean section

Objective B Lynch suture in uterine atony prophylaxis postpartum hemorrhage during ceasarean section. Method A Descriptive study, April 2013 – May 2014 was controlled at Suratthani hospital Thailand. During that period there were 7500 deliveries with a ceasarean section rate of 45% (3375). Our of those 3375 ceasarean section the first author had performed 600 (17%), 50(8.3%) of which needed B-Lynch suture to control the uterine atony. Results Total 50 cases , 47 cases successful for prevention of uterine atony. 3 cases had postoperative postpartum hemorrhage (2 cases from placenta previa,1 case from eclampsia) and need PRC methegin, nalador, cytotec for resuscitation.No case needed reoperation from postpartum hemorrhage and none require a hysterectomy. Conclusion B-Lynch technique is a safe, effective, easily and prevention implemented method of postpartum hemorrhage due to uterine atony during ceasarean section. Keywords : Postoperative postpartum, B-Lynch suture