• Shazia Sheikh

• Shabnam Naz

• Afsheen Shaikh

• Rehana Parveen

• Nargis Soomro

تلخیص

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.

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