Objective:To conduct a descriptive study on Hayman suture technique to control postpartum hemorrhage Method: Hayman suture was applied in 43 cases. A No-1 Vicryl suture was used on a round body or a straight needle. In 36 cases (83.72%) Hayman suture was the only intervention. In 4 cases (9.30%) uterine vessels and ovarian vessels were also ligated along with Hayman suture. In 3 cases (7%), along with Hayman suture, Gunasheila's circumferential sutures were taken.Results: None of the 43 patients required hysterectomy. Conclusion:Hayman suture technique is an easily and rapidly applied, effective, simple, safe, life saving and fertility preserving method to control atonic postpartum hemorrhage.

Objective: To study the effectiveness of Hayman suture technique to control postpartum hemorrhage.Method: Hayman suture was applied in 43 cases. A No-1 Vicryl suture was used on a round body or a straight needle. In 36 cases (83.72%) Hayman suture was the only intervention. In 4 cases (9.30%) uterine vessels and ovarian vessels were also ligated along with Hayman suture. In 3 cases (7%), along with Hayman suture, Gunashila’s circumferential sutures were taken. Results: None of the 43 patients required hysterectomy.Conclusion: Hayman suture technique is an easily and rapidly applied, effective, simple, safe, life saving and fertility preserving method to control atonic postpartum hemorrhage.Bangladesh J Obstet Gynaecol, 2012; Vol. 27(1) : 14-17

Abstract:Objectives: to create awareness, to screen samples of school adolescents and then to reach their community through them by doing surveillance for sickle cell disease. Design: Field based cross-sectional study. Settings: St Xavier`s high school and Vanraj high school of Umarpada taluka of Surat district. Subjects: School adolescents, their parents and friends. Method: After taking permission from school authority, blood samples of 948 school adolescents were taken for DTT test and then for electrophoresis. Blood samples of motivated parents and friends of those adolescents found positive for DTT was taken in subsequent visit and results were communicated to them. Results: Blood samples of 948 school adolescents, out of 1081 were tested for DTT test. It was positive in 242 samples, giving a prevalence of 25.5% for sickle cell disease. On subjecting the positive blood samples to electrophoresis, the proportion of sickle cell trait and sickle cell disease was found to be 92% and 8% respectively. Then electrophoresis was done in 64 parents and friends, 24 (37.5%) of them were found positive of which, 14 (58%) were having sickle cell trait and 10 (42%) having sickle cell disease. Conclusion: approaching community can be possible through school adolescents for conduction of surveillance of sickle cell anemia.

Objectives: to create awareness, to screen samples of school adolescents and then to reach their community through them by doing surveillance for sickle cell diseaseSettings & Design: School adolescents studying in St Xavier`s high school and Vanraj high school of Umarpada taluka of Surat district were included in the field based cross-sectional studyMethod: After taking permission from school authority, pre-test (n=881) and post-test (n=743) evaluation was done to asses their knowledge regarding SCD. Blood samples of 948 school adolescents were taken for DTT test and then for electrophoresis. Blood samples of motivated parents and friends of those adolescents found positive for DTT was taken in subsequent visit and results were communicated to them.Results: Out of 1081 adolescents, various aspects of sickle cell disease were assessed among 881 during pre-test and among 743 during post-test evaluation. Blood samples of 948 school adolescents were tested for DTT test. Prevalence of sickle cell disease was found 25.5%. Electrophoresis was done in 242 adolescents who found positive for DTT test, of which 92% found having sickle cell trait and 8% having sickle cell disease. Then electrophoresis done among 64 parents and friends and 24 (37.5%) found positive of which 14 (58%) having sickle cell trait and 10 (42%) having sickle cell disease. SOURCE OF SUPPORT Laboratory investigations were done as part of sickle cell disease control programme in the south Gujarat region ACKNOWLEDGEMENT Authors are thankful to pathology department, Government Medical College, Surat and principles of Vanraj high school and St Xavier`s high school for giving permission to conduct this study and school adolescents and their parents and friends who participated in this study for their valuable support.

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