Successful term pregnancy after B-Lynch compression suture in a previous pregnancy on account of massive primary postpartum hemorrhage.
A case is presented of a successful term pregnancy in a 28-year-old secundipara after previous Misgav-Ladach cesarean section and B-Lynch compression suture on account of massive postpartal hemorrhage caused by uterine atony. On account of dystocia and relative cephalopelvic disproportion, secondary repeated cesarean section was performed; she gave birth to a live child 3,900 g/52 cm, Apgar score 9/10, with a regular neonatal course. During the repeated cesarean section, thin laces of connective tissue were found along the sutures placed on the uterus during the previous B-Lynch operation. Pelvic and intrauterine adhesions were not found.
Habek
Dubravko
D
Department of Obstetrics and Gynecology, General Hospital Sveti Duh, Zagreb, Croatia. dubravko.habek@os.htnet.hr
Vranjes
Maja
M
Bobić Vuković
Mirna
M
Valetić
Josip
J
Krcmar
Vladimir
V
Simunac
Jasna
J
D000328:Adult; D001034:Apgar Score; D002585:Cesarean Section / Q000379:methods; D017604:Cesarean Section, Repeat; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome; D013536:Suture Techniques; D016896:Treatment Outcome; D014599:Uterus / Q000601:surgery