|December 2012 · Vol. 24, No. 12
A stitch in time: The B-Lynch,
Hayman, and Pereira
uterine compression sutures
All three of these uterine compression sutures are effective at treating postpartum hemorrhage caused by uterine atony—remember to use them
DID YOU READ THESE ARTICLES ON PPH?
CLICK HERE to access 6 articles about treating postpartum hemorrhage published in OBG Management in 2011 and 2012.
Editor in ChiefDr. Barbieri reports no financial relationships relevant to this article.
CASE You are performing a cesarean delivery for a 30-year-old G1P0 woman who presented in labor with a breech fetus at term. Earlier in the pregnancy an external version was unsuccessful in achieving a cephalic presentation. The breech delivery of the newborn is uncomplicated but, immediately following delivery of the placenta, you note excessive uterine bleeding and diagnose a postpartum hemorrhage (PPH) due to uterine atony. Manual massage of the uterus and administration of oxytocin, misoprostol, carboprost tromethamine (Hemabate), and methergine do not result in resolution of the hemorrhage. Your assistant suggests a uterine compression suture to treat the PPH.
What uterine compression suture would you choose?