Modified BLynch suture technique in postpartum hemorrhage caused by uterine inertia in the clinical application.doc

 PAGE \* MERGEFORMAT 7 Modified BLynch suture technique in postpartum hemorrhage caused by uterine inertia in the clinical application Of: Zhongshao Qing, Wu Liling, He Yinglin [Keywords:] Modified B Lynch suture, uterine atony, postpartum hemorrhage Postpartum hemorrhage is the main reason of maternal mortality, and uterine inertia and postpartum hemorrhage postpartum hemorrhage in the first home, so prevention and prompt and effective treatment of postpartum hemorrhage is to reduce maternal mortality of the major initiatives. Obstetric hospital modified B Lynch suture treatment of uterine atony in 23 cases of postpartum hemorrhage, and achieved good results, are reviewed as follows. Materials and Methods 1. General information from the obstetric hospital from March 2005 to March 2006 were treated for severe postpartum uterine atony in 23 cases of maternal hemorrhage, maternal age in this group of 21 to 38 years old, average age 27 years old, pregnant weeks between 32 to 41 weeks, 17 cases occurred in cesarean section (73.9%), cesarean section indications for preeclampsia, eclampsia, placental abruption, placenta previa, with myoma , breech presentation, fetal distress, Head difficult and so on, occurred in 6 patients after vaginal delivery (26.1%). 2. Methods caught epidural anesthesia and cesarean section cesarean section, intraoperative bleeding occurred after placental expulsion, followed by the uterus does not shrink, “soft bag”-like change. All the patients were applied hemostatic agents, hot salt water heat, massage the uterus, drug (oxytocin, misoprostol, prostaglandin calcium, etc.) to promote uterine contractions, bleeding sites, “8” suture and ascending branch of uterine artery ligation and other measures ineffective, that the implementation of modified B Lynch suture. vaginal delivery do shame on the transverse incision, the pessary out of the abdominal cavity, the lower uterine segment to make a transverse incision, cesarean se