Comparison of Intrauterine Balloon Tamponade and B Lynch Suture in the Management of Severe Postpartum Haemorrhage

  • Tehseen Fatima Consultant gynaecologist, Department of Obstetrics & Gynecology, Bahawal Victoria Hospital, Bahawalpur
  • Bibi Monis Senior registrar, Department of Obstetrics & Gynecology, Bahawal Victoria Hospital, Bahawalpur
  • Rabia Qasim Women Medical officer, Department of Obstetrics & Gynecology, Bahawal Victoria Hospital, Bahawalpur
  • Maria Nadeem Women Medical officer, Department of Obstetrics & Gynecology, Bahawal Victoria Hospital, Bahawalpur
Keywords: Compression sutures, postpartum hemorrhage, hysterectomy

Abstract

Objective: To compare the success rate of intrauterine balloon tamponade and B Lynch suture for management of severe postpartum hemorrhage.

Methodology: The research included overall 104 individuals undergoing severe postpartum hemorrhage, aged between 20 and 35 years, and 36 to 42 weeks of gestational age. Patients with ruptured uterus, conception retirements, genital trauma, and any disorder of bleeding were excluded. Using lottery technique, targeted subjects were randomly grouped into Group A and Group B (intrauterine balloon tamponade and B Lynch suture, respectively). Outcome factors such as bleeding control in less than 15 minutes following the procedure (success) were observed.

Results: The group-A females had a mean age of 27.69 ± 3.68 years and group B showed a 27.60 ± 3.65 years of mean age. The mean gestational age in both of the groups (A and B) was 39.98 ± 1.57 weeks and 40.04 ± 1.68 weeks respectively. Success rates in both of the groups (intrauterine balloon tamponade and B Lynch suture) were noted as 67.31% and 88.46% respectively; with a p-value of 0.009.

Conclusion:  It was concluded that B-Lynch suture’s success rate was more than the intrauterine balloon tamponade in managing the severe postpartum hemorrhage.

Published
2021-04-07
Section
Original Articles