Clinical Experience Over 15 Years with the B-Lynch Compression Suture Technique in the Management of Postpartum Hemorrhage

Abstract Objective To describe the clinical experience with the B-Lynch technique in the management of postpartum hemorrhage as well as the factors related to the indication of the technique and to present the success rates of the application of the B-Lynch technique. Methods Observational, retrospective, cross-sectional, and analytical study. Patient data was obtained through the study of medical records. The study population comprised of patients who underwent hemostatic suture using the B-Lynch technique, including 104 patients within the period from January 1, 2005, to December 31, 2019. Results Of the total of 104 patients, 82.7% did not present any complications. Blood transfusion and intensive care unit admission were the most prevalent complications, with 13.5% and 15.4%, respectively. Only 1% of the patients had puerperal and surgical site infections. The factors most related to the application of the technique were the presence of previous cesarean section (30.8%), use of oxytocin (16.3%), and preeclampsia (11.6%). Puerperal hysterectomy was performed in 4.8% of the patients due to failure of the method. Conclusion The clinical experience with the B-Lynch technique was satisfactory since it presented few complications, with excellent results in hemorrhagic control. Previous cesarean section, the use of oxytocin, and preeclampsia stood out as factors related to the indication of the application of the technique, and the success rate in controlling postpartum hemorrhage was 95.2%.

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386 Timing of previous cesarean section affects postpartum hemorrhage and maternal morbidity following sequential vaginal birth

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2020.12.409 ◽

2021 ◽

Vol 224 (2) ◽

pp. S250-S251

Author(s):

Chen Ben David ◽

Roy Lauterbach ◽

Gal Bachar ◽

Yaniv Zipori ◽

Zeev Weiner ◽

...

Keyword(s):

Cesarean Section ◽

Postpartum Hemorrhage ◽

Maternal Morbidity ◽

Vaginal Birth ◽

Previous Cesarean Section ◽

Previous Cesarean

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Fear of Childbirth and Its Predictors in Repregnant Women After Cesarean Section: A Cross-Sectional Multicenter Study in China

10.21203/rs.3.rs-333746/v1 ◽

2021 ◽

Author(s):

Yiping Hou ◽

Xihong Zhou ◽

Min Yao ◽

Sai Liu

Keyword(s):

Social Support ◽

Cesarean Section ◽

Multicenter Study ◽

Self Efficacy ◽

Univariate Analysis ◽

Cesarean Sections ◽

Fear Of Childbirth ◽

Previous Cesarean Section ◽

Cross Sectional ◽

Previous Cesarean

Abstract Background Since the implementation of China’s two-child policy in 2016, the number of repregnant women after cesarean section has increased significantly. These women are more prone to fear of childbirth compared with primiparas, which poses a great threat to their physical and mental health. However, there is currently limited research on the problem in China. The aim of this study was to assess fear of childbirth and its predictors in repregnant women after cesarean section in China. Methods A cross-sectional multicenter study was conducted in three hospitals from June 7 to December 7, 2020, in Changsha, China. A convenience sampling technique was employed to include participants. Pretested and organized questionnaires were used to collect data. After checking for completeness, data were exported to statistical software for analysis. Both univariate analysis and multiple linear regression analysis were computed to assess fear of childbirth and its predictors. Statistical significance was declared at a P-value of < 0.05. Results A total of 358 repregnant women after cesarean section have participated in this study. The average score of fear of childbirth was 43.76 (standard deviation = 5.27, range 17–58). Number of cesarean sections, experience with previous cesarean section, childbirth self-efficacy and social support were significantly associated with fear of childbirth. Conclusions In this study, repregnant women after cesarean section in China had moderate fear of childbirth, and the number of cesarean sections, experience with previous cesarean section, childbirth self-efficacy and social support were predictors of fear of childbirth. It is important for healthcare professionals to find repregnant women after cesarean section at high risk of fear of childbirth and provide appropriate services during pregnancy.

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Placental location, postpartum hemorrhage and retained placenta in women with a previous cesarean section delivery: a prospective cohort study

Upsala Journal of Medical Sciences ◽

10.1080/03009734.2017.1356405 ◽

2017 ◽

Vol 122 (3) ◽

pp. 185-189 ◽

Cited By ~ 6

Author(s):

Johanna Belachew ◽

Karin Eurenius ◽

Ajlana Mulic-Lutvica ◽

Ove Axelsson

Keyword(s):

Cohort Study ◽

Cesarean Section ◽

Prospective Cohort Study ◽

Postpartum Hemorrhage ◽

Prospective Cohort ◽

Previous Cesarean Section ◽

Retained Placenta ◽

Cesarean Section Delivery ◽

Previous Cesarean

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Prevalence and risk factors of severe postpartum hemorrhage: a retrospective cohort study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03818-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Chen-ning Liu ◽

Fu-bing Yu ◽

Yun-zhe Xu ◽

Jin-sheng Li ◽

Zhi-hong Guan ◽

...

Keyword(s):

Risk Factors ◽

Cesarean Section ◽

Postpartum Hemorrhage ◽

Maternal Age ◽

Placenta Previa ◽

Previous Cesarean Section ◽

Estimated Blood Loss ◽

History Of ◽

Prolonged Labor ◽

Previous Cesarean

Abstract Background Although maternal deaths are rare in developed regions, the morbidity associated with severe postpartum hemorrhage (SPPH) remains a major problem. To determine the prevalence and risk factors of SPPH, we analyzed data of women who gave birth in Guangzhou Medical Centre for Critical Pregnant Women, which received a large quantity of critically ill obstetric patients who were transferred from other hospitals in Southern China. Methods In this study, we conducted a retrospective case-control study to determine the prevalence and risk factors for SPPH among a cohort of women who gave birth after 28 weeks of gestation between January 2015 and August 2019. SPPH was defined as an estimated blood loss ≥1000 mL and total blood transfusion≥4 units. Logistic regression analysis was used to identify independent risk factors for SPPH. Results SPPH was observed in 532 mothers (1.56%) among the total population of 34,178 mothers. Placenta-related problems (55.83%) were the major identified causes of SPPH, while uterine atony without associated retention of placental tissues accounted for 38.91%. The risk factors for SPPH were maternal age < 18 years (adjusted OR [aOR] = 11.52, 95% CI: 1.51–87.62), previous cesarean section (aOR = 2.57, 95% CI: 1.90–3.47), history of postpartum hemorrhage (aOR = 4.94, 95% CI: 2.63–9.29), conception through in vitro fertilization (aOR = 1.78, 95% CI: 1.31–2.43), pre-delivery anemia (aOR = 2.37, 95% CI: 1.88–3.00), stillbirth (aOR = 2.61, 95% CI: 1.02–6.69), prolonged labor (aOR = 5.24, 95% CI: 3.10–8.86), placenta previa (aOR = 9.75, 95% CI: 7.45–12.75), placenta abruption (aOR = 3.85, 95% CI: 1.91–7.76), placenta accrete spectrum (aOR = 8.00, 95% CI: 6.20–10.33), and macrosomia (aOR = 2.30, 95% CI: 1.38–3.83). Conclusion Maternal age < 18 years, previous cesarean section, history of PPH, conception through IVF, pre-delivery anemia, stillbirth, prolonged labor, placenta previa, placental abruption, PAS, and macrosomia were risk factors for SPPH. Extra vigilance during the antenatal and peripartum periods is needed to identify women who have risk factors and enable early intervention to prevent SPPH.

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