Begum Jasmina, Pallave P, Ghose Seetesh
Assistant Professor, Department of Obstetrics and Gynaecology, Mahatama Gandhi Medical College and Research Institute , Puducherry, India .
Associate Professor, Department of Obstetrics and Gynaecology, Mahatama Gandhi Medical College and Research Institute , Puducherry, India .
J Clin Diagn Res. 2014 Apr;8(4):OD01-3. doi: 10.7860/JCDR/2014/8139.4284. Epub 2014 Apr 15.
Postpartum haemorrhage is a leading cause of global maternal mortality and morbidity, accounting for 25-30% of all maternal deaths, and 75-90% of these casualties result from uterine atony. Uterine compressive sutures are a well established measure for control of haemorrhage following atonic postpartum haemorrhage, when medical and nonmedical interventions fail. Here, we are reporting a case of secondary infertility in a 24-year-old lady who had undergone an elective caesarean section for central placenta previa in her first pregnancy. She had massive postpartum haemorrhage, for which B-Lynch suture and vessel ligation were done. Subsequently, she failed to conceive for 4 years. This was because of severe pelvic adhesions and uterine deformation which were found intraoperatively, as a consequence of previous use of B-Lynch suture. As no definitive treatment could be offered to her, we suggested her to go for adoption.
产后出血是全球孕产妇死亡和发病的主要原因，占所有孕产妇死亡的25%-30%，其中75%-90%的死亡是由子宫收缩乏力导致的。当药物和非药物干预措施无效时，子宫压迫缝合术是控制宫缩乏力性产后出血的一项成熟措施。在此，我们报告一例24岁女性继发性不孕的病例，该女性在首次怀孕时因中央性前置胎盘接受了择期剖宫产。她产后发生了大出血，为此进行了B-Lynch缝合术和血管结扎术。随后，她4年未能怀孕。这是因为术中发现由于之前使用B-Lynch缝合术导致了严重的盆腔粘连和子宫变形。由于无法为她提供确切的治疗方法，我们建议她考虑收养。
