Efficacy of Different Uterine Compression Sutures in Controlling Excessive Uterine Bleeding during Caesarean Section
Zeinhom, A., Abdelhady, A., Selim, A., Helaly, A., Faisal, M., El shabrawy, A., Rabie, N., Salama, M. (2024). Efficacy of Different Uterine Compression Sutures in Controlling Excessive Uterine Bleeding during Caesarean Section. EKB Journal Management System, 28(5), 17-27. doi: 10.21608/egyfs.2024.388587
Ahmed Zeinhom; Amany Abdelhady; Ahmed M. Selim; Amr Helaly; Malames M. Faisal; Amal El shabrawy; Noha Rabie; Mohamed Salama. "Efficacy of Different Uterine Compression Sutures in Controlling Excessive Uterine Bleeding during Caesarean Section". EKB Journal Management System, 28, 5, 2024, 17-27. doi: 10.21608/egyfs.2024.388587
Zeinhom, A., Abdelhady, A., Selim, A., Helaly, A., Faisal, M., El shabrawy, A., Rabie, N., Salama, M. (2024). 'Efficacy of Different Uterine Compression Sutures in Controlling Excessive Uterine Bleeding during Caesarean Section', EKB Journal Management System, 28(5), pp. 17-27. doi: 10.21608/egyfs.2024.388587
Zeinhom, A., Abdelhady, A., Selim, A., Helaly, A., Faisal, M., El shabrawy, A., Rabie, N., Salama, M. Efficacy of Different Uterine Compression Sutures in Controlling Excessive Uterine Bleeding during Caesarean Section. EKB Journal Management System, 2024; 28(5): 17-27. doi: 10.21608/egyfs.2024.388587

Efficacy of Different Uterine Compression Sutures in Controlling Excessive Uterine Bleeding during Caesarean Section

The Egyptian Journal of Fertility and Sterility
Volume 28, Issue 5 - Serial Number 11106352, September 2024, Page 17-27  XML PDF (492.74 K)
Document Type: Original Article
DOI: 10.21608/egyfs.2024.388587
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Authors
Ahmed Zeinhom email 1; Amany Abdelhady2; Ahmed M. Selim1; Amr Helaly1; Malames M. Faisal; Amal El shabrawy; Noha Rabie1; Mohamed Salama3
1Department of Obstetrics and Gynecology, Ain Shams University Maternity Hospital Cairo, Egypt
2Department of Obstetrics & Gynecology, New Cairo Hospital, Cairo, Egypt
3Department of Obstetrics and Gynecology, Ain Shams University Maternity Hospital Cairo, Egypt.
Abstract
Introduction: Obstetric hemorrhage remains the leading cause of maternal mortality in both developed and developing countries. Postpartum hemorrhage is blood loss more than 500 ml in vaginal delivery and more than 1000 ml within 24 h in cesarean section. The objective of this study is to compare the safety and efficacy of Nausicaa and B-Lynch compressive sutures to control excessive uterine bleeding during cesarean section. 
Methods: The study included 60 women suffering from excessive uterine bleeding during cesarean section in Ain Shams University Maternity Hospital, a tertiary referral center in Cairo, Egypt with annual rate of seven thousand cesarean sections per year Participants were randomly assigned to Nausicaa suture and B-Lynch suture done. The primary outcome was emergency hysterectomy.
Results : Nausicaa suture achieved hemostasis and prevented hysterectomy in 80% of allocated patients compared to 96.7% in B-Lynch suture. B-Lynch suture required shorter procedure time (7.2 ±3.3 vs16.1 ±4.9, 95% CI 6.8-11.2, p<0.001) compared to Nausicaa suture, with less blood loss in B Lynch suture (1473.3±429.9 ml vs1886.7±620.2 ml, 95% CI (6.8–11.1, p<0.001) compared to Nausicaa suture.
Conclusion: B-Lynch suture is more effective than Nausicca suture in controlling excessive uterine bleeding and preventing emergency hysterectomy during cesarean section. 
Keywords
Keywords: B-Lynch; Nausicaa suture; excessive uterine bleeding. 
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