Successful management of atonic uterus in a caesarean section with modified B–Lynch sutures: a case report


  • Eshita Wadhwa Department of Obstetrics and Gynecology, Lokmanya Tilak Municipal General Hospital, Mumbai, Maharashtra, India



Compression sutures, Atonic uterus, Postpartum haemorrhage, B-Lynch


Postpartum haemorrhage (PPH) still remains one of the primary causes of maternal mortality throughout the planet. Prompt management of PPH with medical and surgical intervention should be encouraged as it can be lifesaving. Primary methods of management include a simple bi-manual compression, oxytocic drugs such as oxytocin, ergometrine, and prostaglandins these are safe and effective, but can occasionally prove inadequate or unsatisfactory following which a trial of tamponade should be given if still unsuccessful uterine compression sutures running through the full thickness of both anterior and posterior walls of the uterus are taken which cause mechanical compression and hence control the excessive blood loss. In this study, we report a case of atonic uterus in a case of abruption managed with B-lynch sutures.


Committee on Practice Bulletins-Obstetrics. Practice Bulletin No. 183: Postpartum Hemorrhage. Obstet Gynecol. 2017;130(4):168-86.

Nahar S, Nargis SF, Khannam M. Simple technique of uterine compression sutures for prevention of primary postpartum hemorrhage during caesarian section. Pak J Med Sci. 2010;26(2).

Elhassan EM, Mirghani OA, Adam I. The B-Lynch surgical technique for control of postpartum haemorrhage, Journal of Obstetrics and Gynaecology, 2010;30(1):94.

B-Lynch C, Coker A, Lawal AH, Abu J, Cowen MJ. The B-Lynch Surgical Technique for the Control of Massive Postpartum Haemorrhage: An Alternative to Hysterectomy? Five Cases Reported. Br J Obstet Gynaecol. 1997;104:372-5.

Abdul-Kadir R, McLintock C, Ducloy AS, El-Refaey H, England A, Federici AB, et al. Evaluation and management of postpartum hemorrhage: consensus from an international expert panel. Transfusion. 2014;54(7):1756-68.






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