title: Uterine compression sutures as an effective treatment for postpartum hemorrhage: case series.
abstract: We evaluated the role of uterine compression sutures as a conservative treatment for postpartum hemorrhage (PPH) after failed medical treatment. We retrospectively reviewed the charts of all patients who delivered between 2003 and 2009 at a single tertiary care center and who underwent uterine compression sutures for PPH. Twelve women had uterine compression sutures for PPH. The mean age of the patients was 36.3 ± 5.2 years. The mean gestational age at delivery was 37.7 ± 2.0 weeks, and the average estimated blood loss was 2.1 ± 1.1 L. The mean procedure time to perform the uterine compression sutures was 9.3 ± 2.8 minutes. The success rate of compression sutures was 92% with only one failure resulting in a hysterectomy. Uterine compression sutures are an effective method for the treatment of PPH, thus avoiding hysterectomy and preserving potential fertility.
authors.affiliation: Department of Obstetrics and Gynecology, Sunnybrook, Health Sciences Centre, University of Toronto, Toronto, Canada ; Division of Maternal-Fetal Medicine, Sunnybrook, Health Sciences Centre, University of Toronto, Toronto, Canada.
authors.forename: Nihal
authors.initials: N
authors.lastname: Al Riyami
authors.forename: Dini
authors.initials: D
authors.lastname: Hui
authors.forename: Elaine
authors.initials: E
authors.lastname: Herer
authors.forename: Ori
authors.initials: O
authors.lastname: Nevo
keywords: Fertility; postpartum hemorrhage; uterine compression sutures