Assessment of Efficacy of Hayman Suture Technique in Management of Intraoperative Atonic Postpartum Hemorrhage

  • DRAKHSHAN NAUMAN Department of Gynecology, Akhtar Saeed Medical and Dental College, Lahore
  • NADIA SAIF Department of Gynecology, Akhtar Saeed Medical and Dental College, Lahore – Pakistan
  • UZMA SIDDIQUE Department of Gynecology, Akhtar Saeed Medical and Dental College, Lahore – Pakistan
  • NOSHEEN NAVEED Department of Gynecology, Akhtar Saeed Medical and Dental College, Lahore – Pakistan
  • UZMA SIDDIQUE Department of Gynecology, Akhtar Saeed Medical and Dental College, Lahore – Pakistan
Keywords: Atonic uterus, Postpartum hemorrhage, Hayman suture

Abstract

Objective:  To assess the efficacy of the Hayman suture technique in the management of intraoperative atonic postpartum hemorrhage thus reducing maternal morbidity and mortality.

Study Design:  Simple Descriptive study.

Materials and Method:  A simple descriptive observational study was conducted at Farooq Hospital and AIT, Lahore. The study included all patients with intraoperative atonic PPH after elective and emergency caesarean sections, during the study period, in whom medical management of PPH failed and Hayman suture was applied.

Results:  Hayman suture was 97.5% successful in controlling primary PPH due to intraoperative uterine atony. It failed in only one patient (2.5%) and that patient needed a hysterectomy.

Conclusion:  Hayman suture is an effective and quick technique in controlling primary PPH due to intraoperative uterine atony. It is an effective surgical technique after failure of conservative medical management. It is easy to apply and can be applied by Postgraduate trainees and registrar in emergency as lifesaving procedure.

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Published
2020-07-14
Section
Allied Specialities/Nursing Section