DOI: 10.36347/sjams.2016.v04i08.012

Pages: 2787-2789

The objective to study the effectiveness of Hayman suture to control atonic PPH when medical management fails. A retrospective study was conducted at Jay Kay Lon Hospital, Kota. From September 2013 to September 2015. B-Lynch suture (classical/modified form) were applied in 25 cases out of which 23 were during caesarean section and 2 after vaginal delivery. In 20 cases Hayman suture was the only intervention, in one case classical B-Lynch suture was applied, In 3 cases bilateral uterine arteries were ligated and in one case ovarian artery was also ligated in addition. During the 24 months of study period 5 %( 1261/25,224) women had primary PPH, while massive PPH occurred in 0.4 %( 106/25,224) cases, Majority of these cases were due to uterine atony. Haymen suture was applied to 25 women in whom conservative management failed for PPH. Effective haemostasis achieved in all cases, none of the women required hysterectomy. Hayman suture technique is an easily and rapidly applied, effective, simple, safe, lifesaving and fertility preserving method to control atonic PPH.