Abstract：
BACKGROUND:To assess the effectiveness of the new modified technique in order to control bleeding in women presenting with atonic, flabby uterus compared to the most commonly described technique of classic B-Lynch suture. METHOD:This study included 160 women of uncontrolled atonic postpartum hemorrhage delivered by cesarean section at Ain Shams University Maternity Hospital between January 2013 and October 2015. Participants were randomly assigned following simple randomization procedures (computerized random numbers) and divided into two groups. Group, I (80 patients) operated upon by the modified (new technique) stitch while group II (80 patients) operated upon by the classic technique. The ultimate goals were to stop blood loss after placement of the sutures and avoid life-saving hysterectomy thus preserving the life and fertility of the patient. RESULTS:The modified new technique was done in 80 patients with atonic postpartum hemorrhage and it was found to be superior to the classic technique with a success rate 95 % (4 cases needed hysterectomy as a lifesaving measure) compared to 85 % with the classic technique (in 12 cases, a life-saving hysterectomy was done). CONCLUSIONS:This technique can replace the classic B-lynch in flabby unresponsive atonic uteri as it has 8 shaped placement of the stitch which causes more firm compression on the uterus and simultaneous bilateral uterine artery ligation. This technique was proved valuable and successful in many patients who suffer from uncontrolled massive postpartum hemorrhage (PPH).
journal_name
BMC Pregnancy Childbirthjournal_title
BMC pregnancy and childbirthauthors
El-Sokkary M,Wahba K,El-Shahawy Ydoi
10.1186/s12884-016-1000-2subject
Has Abstractpub_date
2016-08-27 00:00:00pages
251issn
1471-2393pii
10.1186/s12884-016-1000-2journal_volume
16pub_type
杂志文章,随机对照试验abstract：BACKGROUND:Iron and Folic Acid are two of the micronutrients recommended for pregnant women to support optimal maternal outcomes with regard to preventing anaemia and foetal birth defects. It is difficult to establish if women provided with iron and folic acid supplementation in Zambia benefit from it and how well it i...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-019-2700-1
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abstract：BACKGROUND:Rates of cesarean deliveries have been increasing, and contributes to the rising number of elective cesarean deliveries in subsequent pregnancies with associated maternal and neonatal risks. Multiple guidelines recommend that women be offered a trial of labor after a cesarean (TOLAC). The objective of the st...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-018-2065-x
更新日期：2018-11-21 00:00:00
abstract：BACKGROUND:Contemporary obstetrics in sub-Saharan Africa is yet to meet the analgesic needs of most women during child birth for a satisfactory birth experience and expectedly, obstetricians have a major role to play in achieving this. METHODS:This was a questionnaire-based, cross-sectional study of 151 obstetricians ...
journal_title：BMC pregnancy and childbirth
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doi：10.1186/1471-2393-14-140
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
doi：10.1186/s12884-020-03512-8
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章,meta分析,评审
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abstract：BACKGROUND:It currently remains unknown whether the resection of cervical polyps during pregnancy leads to miscarriage and/or preterm birth. This study evaluated the risk of spontaneous PTB below 34 or 37 weeks and miscarriage above 12 weeks in patients undergoing cervical polypectomy during pregnancy. METHODS:This wa...
journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
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journal_title：BMC pregnancy and childbirth
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journal_title：BMC pregnancy and childbirth
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journal_title：BMC pregnancy and childbirth
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
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journal_title：BMC pregnancy and childbirth
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章,随机对照试验
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
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journal_title：BMC pregnancy and childbirth
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
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journal_title：BMC pregnancy and childbirth
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journal_title：BMC pregnancy and childbirth
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journal_title：BMC pregnancy and childbirth
pub_type： 临床试验,杂志文章
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journal_title：BMC pregnancy and childbirth
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pub_type： 杂志文章
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更新日期：2019-01-14 00:00:00
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章,评审
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章,随机对照试验
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
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更新日期：2011-08-18 00:00:00
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journal_title：BMC pregnancy and childbirth
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
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journal_title：BMC pregnancy and childbirth
pub_type： 杂志文章
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