COMPARISON OF INTRAUTERINE BALLOON TAMPONADE AND B LYNCH SUTURE IN SEVERE POSTPARTUM HEMMORHAGE

Objective: To determine the success rate of intrauterine balloon tamponade versus B Lynch suture in the management of severe postpartum hemorrhage. Study Design: Randomized controlled trial. Place and Duration of Study: This study was conducted in department of Obstetrics and Gynaecology, C...

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Autores principales:	Bilqees Akhtar Malik, Zaib -un- Nisa, Ambreen Shabbir, Muhammad Mudassir Saleem
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	compression sutures hysterectomy Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/e1c65f7db484437caff83df9cd20f233
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spelling	oai:doaj.org-article:e1c65f7db484437caff83df9cd20f2332021-11-30T03:10:25ZCOMPARISON OF INTRAUTERINE BALLOON TAMPONADE AND B LYNCH SUTURE IN SEVERE POSTPARTUM HEMMORHAGE0030-96482411-8842https://doaj.org/article/e1c65f7db484437caff83df9cd20f2332018-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2611/2126https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the success rate of intrauterine balloon tamponade versus B Lynch suture in the management of severe postpartum hemorrhage. Study Design: Randomized controlled trial. Place and Duration of Study: This study was conducted in department of Obstetrics and Gynaecology, Combined Military Hospital, Bahawalpur, from Jan 2017 to Jun 2017. Materials and Methods: A total of 104 patients with severe postpartum hemorrhage, 20 to 35 years of age of gestational age 36-42 weeks were included in the study. Patients with genital tract trauma, retained products of conception, ruptured uterus and any bleeding disorderwere excluded. Then selected patients were placed randomly into group A (intrauterine balloon tamponade) & group B (B Lynch suture) by using lottery method. Outcome variables like control of bleeding within 15 minutes after procedure (success rate) was noted. Results: The mean age of women in group A was 27.69 ± 3.68 years and in group B was 27.60 ± 3.65 years. The mean gestational age in group A was 39.98 ± 1.57 weeks and in group B was 40.04 ± 1.68 weeks. Success was 67.31% in group A (intrauterine balloon tamponade) and 88.46% in group B (B Lynch suture) with p-value of 0.009, showing statistically significant difference between the two groups. Conclusion: This study concluded that success rate (stoppage of bleeding within 15 minutes) of B Lynch suture is better as compared to intrauterine balloon tamponade in the management of severe postpartum hemorrhage and should be used as first line procedure in controlling severe PPH.Bilqees Akhtar MalikZaib -un- NisaAmbreen ShabbirMuhammad Mudassir SaleemArmy Medical College Rawalpindiarticlecompression sutureshysterectomyMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 6, Pp 1765-1770 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	compression sutures hysterectomy Medicine R Medicine (General) R5-920
spellingShingle	compression sutures hysterectomy Medicine R Medicine (General) R5-920 Bilqees Akhtar Malik Zaib -un- Nisa Ambreen Shabbir Muhammad Mudassir Saleem COMPARISON OF INTRAUTERINE BALLOON TAMPONADE AND B LYNCH SUTURE IN SEVERE POSTPARTUM HEMMORHAGE
description	Objective: To determine the success rate of intrauterine balloon tamponade versus B Lynch suture in the management of severe postpartum hemorrhage. Study Design: Randomized controlled trial. Place and Duration of Study: This study was conducted in department of Obstetrics and Gynaecology, Combined Military Hospital, Bahawalpur, from Jan 2017 to Jun 2017. Materials and Methods: A total of 104 patients with severe postpartum hemorrhage, 20 to 35 years of age of gestational age 36-42 weeks were included in the study. Patients with genital tract trauma, retained products of conception, ruptured uterus and any bleeding disorderwere excluded. Then selected patients were placed randomly into group A (intrauterine balloon tamponade) & group B (B Lynch suture) by using lottery method. Outcome variables like control of bleeding within 15 minutes after procedure (success rate) was noted. Results: The mean age of women in group A was 27.69 ± 3.68 years and in group B was 27.60 ± 3.65 years. The mean gestational age in group A was 39.98 ± 1.57 weeks and in group B was 40.04 ± 1.68 weeks. Success was 67.31% in group A (intrauterine balloon tamponade) and 88.46% in group B (B Lynch suture) with p-value of 0.009, showing statistically significant difference between the two groups. Conclusion: This study concluded that success rate (stoppage of bleeding within 15 minutes) of B Lynch suture is better as compared to intrauterine balloon tamponade in the management of severe postpartum hemorrhage and should be used as first line procedure in controlling severe PPH.
format	article
author	Bilqees Akhtar Malik Zaib -un- Nisa Ambreen Shabbir Muhammad Mudassir Saleem
author_facet	Bilqees Akhtar Malik Zaib -un- Nisa Ambreen Shabbir Muhammad Mudassir Saleem
author_sort	Bilqees Akhtar Malik
title	COMPARISON OF INTRAUTERINE BALLOON TAMPONADE AND B LYNCH SUTURE IN SEVERE POSTPARTUM HEMMORHAGE
title_short	COMPARISON OF INTRAUTERINE BALLOON TAMPONADE AND B LYNCH SUTURE IN SEVERE POSTPARTUM HEMMORHAGE
title_full	COMPARISON OF INTRAUTERINE BALLOON TAMPONADE AND B LYNCH SUTURE IN SEVERE POSTPARTUM HEMMORHAGE
title_fullStr	COMPARISON OF INTRAUTERINE BALLOON TAMPONADE AND B LYNCH SUTURE IN SEVERE POSTPARTUM HEMMORHAGE
title_full_unstemmed	COMPARISON OF INTRAUTERINE BALLOON TAMPONADE AND B LYNCH SUTURE IN SEVERE POSTPARTUM HEMMORHAGE
title_sort	comparison of intrauterine balloon tamponade and b lynch suture in severe postpartum hemmorhage
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/e1c65f7db484437caff83df9cd20f233
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COMPARISON OF INTRAUTERINE BALLOON TAMPONADE AND B LYNCH SUTURE IN SEVERE POSTPARTUM HEMMORHAGE

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