B-Lynch suture for postpartum hemorrhage

Background: Postpartum hemorrhage is a major contributor to maternal morbid ity and mortality. Numerous medical and surgical therapies have been used, but none has been uniformly successful. Case: Two women with postpartum hemorrhage due to uterine atony after cesar ean for twins are presented. Neither responded to medical management. In th e first subject, O'Leary uterine artery ligation and utero-ovarian branch l igations were done without benefit. The B-Lynch suture immediately sustaine d correction of hemorrhage in both subjects. Magnetic resonance imaging and hysterosalpingogram after the first case showed no uterine defects. Conclusion: The B-Lynch suture might be a valuable addition to the surgical treatment of postpartum hemorrhage due to uterine atony. (Obstet Gynecol 2 000;95:1020-2, (C) 2000 by The American College of Obstetricians and Gyneco logists.).