PUERPERIUM
Post-Partum Haemorrhage
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Fetal Diagn Ther. 2006;21(5):475-6.
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Successful term pregnancy after B-Lynch compression suture in a previous
pregnancy on account of massive primary postpartum hemorrhage.
Habek D, Vranjes M, Bobić Vuković M, Valetić J, Krcmar V, Simunac J.
Department of Obstetrics and Gynecology, General Hospital Sveti Duh, Zagreb,
Croatia. dubravko.habek@os.htnet.hr
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.
