title: Later reproductive health after B-Lynch sutures: a follow-up study after 10 years' clinical use of the B-Lynch suture.
abstract: OBJECTIVE
  To evaluate the reproductive prognosis after having a B-Lynch suture placed previously.
  
  
  METHODS
  Follow-up study based on patients' records.
  
  
  METHODS
  University hospital setting (level three; 4,800 deliveries per year).
  
  
  METHODS
  All patients registered to have had a B-Lynch suture placed from 2002 to 2012.
  
  
  METHODS
  None.
  
  
  METHODS
  Future pregnancies.
  
  
  RESULTS
  Forty-four B-Lynch procedures were identified in 43 women. Twenty-six were primiparas at the time of B-Lynch suture. Follow-up took place a median 45 months (range, 17-126 months) after B-Lynch suture placement; one woman was lost to follow-up. Overall, 16 of 42 women obtained a new pregnancy. Among primiparas, 44% either had an ongoing pregnancy or a delivery. Among women not having a succeeding pregnancy, one woman had a peripartum hysterectomy, one was advised against pregnancy, one developed Asherman's syndrome, and three women were known to attempt to obtain pregnancy. In deliveries after a previous B-Lynch suture, 3 of 13 women had estimated bleeding above 1,000 mL, and 2 of these had severe bleeding. A time trend was observed indicating that B-Lynch sutures are placed increasingly often.
  
  
  CONCLUSIONS
  The reproductive prognosis after a B-Lynch suture has been placed seems to be relatively good. Nonetheless, complications that might influence future pregnancy may occur, and advice given should address this.
authors.affiliation: Obstetrics and Gynecology Department Y, Aarhus University Hospital, Aarhus, Denmark. Electronic address: Fuglsang@ki.au.dk.
authors.forename: Jens
authors.initials: J
authors.lastname: Fuglsang
mesh_terms: D000328:Adult; D015984:Causality; D003718:Denmark / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007247:Infertility, Female / Q000453:epidemiology*; D011183:Postoperative Complications / Q000453:epidemiology*; D006473:Postpartum Hemorrhage / Q000453:epidemiology* / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011379:Prognosis; D060728:Reproductive Health; D012307:Risk Factors; D013537:Sutures / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D055815:Young Adult
keywords: B-Lynch; compression sutures; fertility; pregnancy