Assessment of Efficacy of Hayman Suture Technique in Management of Intraoperative Atonic Postpartum Hemorrhage
DOI:
https://doi.org/10.36552/pjns.v24i2.447Keywords:
Atonic uterus, Postpartum hemorrhage, Hayman sutureAbstract
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.
References
2. Lu M C, Fridman M, Korst L M et al. Variations in the incidence of postpartum hemorrhage across hospitals in California. Matern Child Health. J. 2005; 9: 297-306. [Pubmed]
3. Mousa H A, Alfirevic Z. Treatment for primary postpartum hemorrhage. Cochrane Database Syst Rev. 2003; (1): CD003249-.[Pubmed]
4. WHO recommendations for the prevention and treatment of postpartum hemorrhage, 2012.
5. Naz H, Sarwar I, Fawad A, Nisa AU. Maternal morbidity and mortality due to primary PPH- experience at Ayub Teaching Hospital Abbottabad. J Ayub Med Coll Abbottabad, 2008; 20 (2): 59-65.
6. NHS Scotland. Scottish confidential audit of severe maternal morbidity. 7th Annual Report, 2011.
7. Wetta A, Jeff M, et al. Risk factors for uterine atony requiring treatment after vaginal delivery. AJOG. 2013; 209 (1): 51.
8. Doumouchtsis, Stergois K, Sabaratnam A. Systemic review of conservative management of postpartum hemorrhage: What to do when medical treatment fails. Obstet & Gynecol. Survey, 2007; 62 (8): 540-547.
9. Villar J, Valladares E, Wojdyla D, Zabaleta N, Carroli G, Velazco A, et al (2005). Caesarean delivery rates and pregnancy outcomes : the 2005 WHO global survey on maternal and perinatal health in Latin America.Lancet. 2006; 367: 1819-29.
10. Koh E, Devendra K, Tanl. B-Lynch suture for the treatment of uterine atony. Singapore Meds. 2009; 50 (7): 693-7.
11. Ghodake V B, Pandit S N, Umbardand S M. Role of
modified B-Lynch suture in modern day management of atonic PPH. Bombay Hospital Journal, 2008; 50 (2): 205-10.
12. Marasinghe JP, Condous G, Uterine compression sutures for the post-partum bleeding with atony; modification of the B-Lynch. Aust NZ Obstet Gynecol. 2009; 49: 67-70.
13. Lutorrski JE, Byme BM, Devore D.Increasing trends in atonic PPH IN Ireland: an 11 year population based study. BJOG. 2012; 119: 306-14.
14. Tariq S, Wazir S, Moeen G. Efficacy of B-Lynch Suture in Postpartum Hemorrhage. Annals, 2011; 17 (2): 116-122.
15. Bhutta FN, Bhutta MMK, Bhutta J, Ali R, Tahir S, Aleem M. A stitch in Time, Saves Life ; Should B-Lynch suture be the First Line Surgical Option for Control of Massive Primary PPH due to Refractory Uterine Atony? An Experience at D.H.Q Hospital Faisalabad. A.P.M.C. 2015; 9 (2): 71-78.
16. Fatima T, Kousar S, Mohsin B, Tabassum Z.
Effectiveness of Single Compression Suture in Management of Atonic Uterus during C-Section. PJMHS. 2018; 12 (2): 681-683.
17. Faruqi NJ, Javed L, Yousaf F.B-lynch suture for the management of postpartum haemorrhage- a local experience. Ann King Edward Med Coll. 2004; 10: 370-3.
18. Kalyankar V, Yelikar K, Kulsange P. Assessment of efficacy of Modified Balogun Lynch-Stitch in management of Atonic Postpartum Hemorrhage. IJBAR. 2014; 5 (5): 258-61.
19. Majumdar A, Malick K, Vasava B, Desai KT, Dalal M. A descriptive study on Hayman suture technique to control postpartum hemorrhage. Sri Lanka J Obstet Gynecol. 2012; 34: 79-83.
20. Hackethal A, Bruggmann D, Oehmke F, Tinneberg HR. Uterine compression sutures in primary PPH after Caesarean section. Fertility Preservation with a simple and effective technique. Human Reprod. 2008; 23 (1): 74-9.
Downloads
Published
Issue
Section
License
The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).
