Abstract
‘To B or not to B’ Compression sutures - what a patient needs to know after the bleeding is controlled: a review
Highlights
Dr Christopher B-Lynch is a UK obstetrician who first reported the use of a uterine compression suture (UCS) for management of severe uterine atony in the setting of postpartum hemorrhage (PPH) [1]
The three most common types of UCS are summarized for placement, advantages, and possible considerations (Table 1; Figure 1)
Uterine necrosis has been reported along the lines of UCS placement
Summary
Dr Christopher B-Lynch is a UK obstetrician who first reported the use of a uterine compression suture (UCS) for management of severe uterine atony in the setting of postpartum hemorrhage (PPH) [1]. Several modifications of the B-Lynch suture have been developed, two commonly reported modifications being Hayman and Cho sutures [2,3]. Appropriate post-operative patient counseling is required, as subsequent pregnancy risks are present, but this knowledge translation process is underutilized. The objective is to review the early and later complications related to the use of UCS for the management of PPH to incite discussion surrounding subsequent risk and aid in thorough patient counselling. A patient debriefing checklist and explanation tool has been created
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