IMR Press / CEOG / Volume 43 / Issue 3 / DOI: 10.12891/ceog2085.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Short interpregnancy interval after B-Lynch uterine compression suture: a case report
Show Less
1 Department of Obstetrics and Gynecology, Osaka University Graduate of Medicine, Osaka (Japan)
Clin. Exp. Obstet. Gynecol. 2016, 43(3), 434–436; https://doi.org/10.12891/ceog2085.2016
Published: 10 June 2016
Abstract

Purpose: The influence of the B-Lynch suture technique on subsequent fertility and pregnancy outcomes is not clear. In the present report, the authors describe the case of a very short interpregnancy interval following the successful placement of a B-lynch suture and discuss the associated problems. Materials and Methods: A 33-year-old-woman underwent cesarean section after undergoing artificial induction of labor and subsequent atonic postpartum hemorrhage. Placement of a B-Lynch brace suture successfully stopped the bleeding and preserved the uterus. The patient became unexpectedly pregnant only four months later, making the present case the shortest reported interpregnancy interval after a surgery involving the B-Lynch suture. Conclusion: In the present case, fertility was not affected, and obstetric complications (abortion, fetal growth restriction, preterm delivery, and placenta previa) were not observed. Adhesions between the abdominal wall and the surface of the uterus along the previous B-Lynch suture line were observed and irregular, large blood vessels were observed on the surface of the uterus. Further reports are expected to determine the influence of the B-Lynch brace suture technique on the subsequent pregnancy.
Keywords
Postpartum hemorrhage
Cesarean section
Uterine atony
Share
Back to top