Uterine preservation with Cho suture in localized multifocal atonicity of uterus with failed medical management and uterine tamponade


  • Shailesh K. Makwana Department of Obstetrics and Gynecology, V. S. Hospital, Ahmedabad, Gujarat
  • Sonal C. Halpati Department of Obstetrics and Gynecology, M. Cure Multispeciality Hospital, Gandhinagar, Gujarat
  • Chirag Patel Department of Gynecology, Rukshmaniben Hospital, Ahmedabad, Gujarat




PPH, Atony, Uterine tamponade, Devascularisation, UCS, Cho suture


Postpartum haemorrhage (PPH) is a major cause of maternal morbidity and mortality, and one of the common obstetrical emergencies. Quite commonly, it occurs in patients where PPH is not expected. Management has to be swift and precise according to the steps and the response initiated by the uterine musculature during the management. In our patient, we had a localized multifocal atony of the uterus, at points where the uterine sinuses were bleeding due to atony, and medical management and uterine tamponade failed, with a raised D-dimer level. As the stepwise management failed with uterine devascularisation failing to control PPH, a decision for uterine compression suture (UCS), Cho suture was taken.

Author Biography

Shailesh K. Makwana, Department of Obstetrics and Gynecology, V. S. Hospital, Ahmedabad, Gujarat



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