Table of Contents
ISRN Obstetrics and Gynecology
Volume 2012 (2012), Article ID 405795, 4 pages
http://dx.doi.org/10.5402/2012/405795
Clinical Study

Safety Pin Suture for Management of Atonic Postpartum Hemorrhage

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig Universiy, P.O. Box 44519, Sharqia, Egypt

Received 26 December 2011; Accepted 26 January 2012

Academic Editors: I. Diez-Itza, D. Schust, and K. Yang

Copyright © 2012 Ali Abdelhamed M. Mostfa and Mostafa M. Zaitoun. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To assess the efficacy of a new suture technique in controlling severe resistant uterine atonic postpartum hemorrhage. Patients and Methods. This is a retrospective observational study that included thirteen women with uterine atony and postpartum bleeding that did not react to usual medical management. All these women underwent compressing vertical suture technique in which the anterior and posterior walls of the uterus were attached so as to compress the uterus. The suture is transfixed at the uterine fundus, thus eliminating the risk of sutures sliding off at the uterine fundus (safety pin suture). Results. safety pin uterine compression suture was a sufficient procedure to stop the bleeding immediately in 92.2% of the women. None of the women developed complications related to the procedure. Conclusion. A new safety pin suture is a simple and effective procedure to control bleeding in patients with treatment-resistant, life-threatening atonic postpartum hemorrhage with the advantage of eliminating the risk of the sutures sliding off at the uterine fundus.