Abstract
Objective: To determine the efficacy of B-lynch above 80% in booked and unbooked cases,
suture in the management of massive PPH. respectively while in referral cases this was 50%.
Methodology: This case series study was Effectiveness of procedure was also similar in
conducted at Department of Obstetrics and multipara in grand multipara women.
Gynecology, Civil Hospital, Karachi. Thirty-five Conclusion:
patients presenting with excessive bleeding after
delivery were included. A detailed history and
examination was carried out, relevant
investigations were done and patients were
treated conservatively. In patients with intractable
primary PPH unresponsive to conservative . It is alternative
management, B-lynch suture was applied. to hysterectomy, especially in young women
Results: Out of 35 patients, B-lynch suture was whose obstetric career otherwise prematurely
successful 83%. Effectiveness of procedure was and involuntarily ends. (Rawal Med J
higher in 25-35 years of age of women while this 2013;38:404-408 ).
was less effective in above 35 years of the age i.e. Key words: Postpartum hemorrhage, B-lynch
71.4%. Similarly, effectiveness was 80% and compression suture, uterine atony.
