The investigation on application opportunity of B-Lynch suture during cesarean section ZHU
10.3760/cma.j.issn.1673-4904.2009.12.001
- VernacularTitle:改良B-Lynch缝合法在剖宫产术中应用时机的研究
- Author:
Haiyan ZHU
;
Guiying JIANG
;
Qingqing WU
- Publication Type:Journal Article
- Keywords:
Cesarean section;
Postpartum hemorrhage;
Risk factors;
B-Lynch suture,improve;
Preventive use
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(12):1-3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application opportunity and effect of B-Lynch suture in severe postpartum hemorrhage during cesarean section. Methods One hundred patients with high risk to postpartum hemorrhage were randomly divided into two groups. Group A was given with preventive treatment by B-Lynch suture after the placenta was born. Group B was given with traditional treatment, such as kneading the uterus, pressing, "8" suture, stuffing with gauze first. B-Lynch suture was used after the failure of traditional treatment or the amount of bleeding was over 400 ml.At the same time, another 50 patients without severe postpartum hemorrhage were selected as control (group C). Observed the difference of the amount of bleeding during different time, the operation time and comphcations among the three groups. Results The amount of bleeding during operation and 2 h after childbirth in group A [(266.00±29.90),(301.33±40.30) ml] were obviously less than those in group B[(512.67±202.12), (554.17±201.78)ml](P<0.01). The operation time in group A [(33.73±2.28)min] was shorter than that in group B [(49.33±10.40) min] (P<0.01). The incidence rate of severe postpartum hemorrhage in group A (6%, 3/50) was lower than that in group B (64%, 32/50) (P<0.01). Every parameter in group A was similar with group C. There were no serious complications during and after operation. Conclusions The preventive use of B-Lynch suture in patients with high risk to postpartum hemorrhage attains much better effects, and depresses the incidence rate of severe postpartum hemorrhage, and also improves the living quality. B-Lynch suture should be. used widely in patients with high risk to postpartum hemorrhage preventively.
