COMPARATIVE STUDY OF INTRAUTERINE PACKING AND B-LYNCH PROCEDURE FOR CONTROLLING POST PARTUM HAEMORRHAGE IN OBSTETRICS

Abstract

Objective: To compare the success rate of intrauterine packing and B Lynch suture for the management of postpartum hemorrhage in an emergency.

Methodology: In total, 130 people between the ages of 14 and 49 who were experiencing postpartum hemorrhage in an emergency and who were between 28- and 42-weeks gestation were included in the study. Individuals with bleeding diseases, genital lacerations, conception retirements, and burst uteruses were not accepted. Targeted participants were randomly assigned to Groups 1 and 2 (intrauterine packing with big bandages and B Lynch suture, respectively) using the lottery procedure. Success criteria, such as bleeding control within 15 minutes of the surgery, were noted.

Results: The group-1 ladies had a mean age of 27.69 ± 3.68 years and group 2 showed 27.60±3.65 years of mean age. The mean gestational age in both of the groups (1 and 2) was 39.98 ± 1.57 weeks and 40.04 ± 1.68 weeks respectively. Success rates in both of the groups (intrauterine packing and B Lynch suture) were noted as 78.78% and 89.39% respectively; with a p-value of 0.009.  No maternal deaths were recorded.

Conclusion: It was concluded that B-Lynch suture’s success rate is high in managing the PPH, and improved maternal outcome.