A descriptive study to evaluate the role of B-lynch suture in controlling primary post partum haemorrhage (PPH)

Aim: to determine the effectiveness of b lynch suture in controlling pph due to uterine atony. study design: this was a descriptive study conducted in department of obstetrics and gynaecology,hussain memorial hospital,lahore from july 2015-dec 2016. methodology: convenient sampling method was adopted. all the patients who had primary post partum hemorrhage during the study period and fulfilling the inclusion criteria were included in study. b lynch compression suture was applied in patients who didnot respond to conservative treatment methods during the study period. the need for blood transfusion and hysterectomy was noted. results: postpartum hemorrhage was controlled in 40% cases by medical management and bimanual uterine compression.the application of b lynch suture done in rest of 60% cases was 100% effective in controlling primary postpartum hemorrhage,where medical management was ineffective. no patient had need for caesarian hysterectomy. no complication was observed in puerperium. conclusion: the application of b lynch suture is very effective method to control primary postpartum hemorrhage. it is a simple suture and technique of application could be learned by every doctor with little practice.the suture can be used to conserve uterus,with little cost of procedure,in patients whom family is not complete.