This article aims to review the maternal morbidity, as well as both short and long-term complications associated with the different types of uterine compression sutures used in managing postpartum hemorrhage. PubMed and Medline databases were non-systematically searched for identified complications of uterine compression sutures. Complications following uterine compression suture placement appear to be rare but likely are underreported. Uterine anatomical distortion and adhesions, postoperative infectious complications, fertility issues, and uterine rupture in subsequent pregnancy have been reported following uterine compression sutures. The general paucity of evidence limits the ability to make recommendations for monitoring following the use of uterine compression sutures, but possible hysteroscopy and thorough communication appear to be reasonable. A non-validated post-operative counseling checklist based on the available evidence was created to assist the hospital debriefing and counseling between physician and patient.
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