Reproductive performance after conservative surgical treatment of postpartum hemorrhage

Abstract

Of the 4 procedures, BIL had the least deleterious effect on reproductive performance; SWUD increased the risk of premature ovarian failure, and B-Lynch increased the risks of endometriosis, intrauterine adhesions, placenta previa, and preterm labor.

Short interpregnancy interval after B-Lynch uterine compression suture: a case report

“…Some studies have reported that uterine compression sutures do not appear to adversely affect menstrual and fertility outcomes in most women [9,10]. However, one study reported the higher prevalence of infertility after a B-Lynch suture [11]. The cause of infertility was considered to be intrauterine adhesion.…”

“…Recently, although the numbers of examined cases were still small, obstetric complications of pregnancies occurring after the B-Lynch suture were reported [11]. These authors investigated 30 cases of pregnancies after the B-Lynch suture and reported a higher incidence of abortion, preterm labor, and placenta previa.…”

Etiology, Risk Factors, and Management of Asherman Syndrome

“…12 Uterine instrumentation and number of losses were determined to be the major risk factors. 12 Similarly, the risk of adhesion formation after postpartum cavity instrumentation is reported to be as high as 19-27%, 13,14 with the highest risk occurring between 2 and 4 weeks postpartum. 6 Intrauterine adhesions can also form after uterine instrumentation in nongravid uteri.…”

Secondary infertility after B‐Lynch suture: indication for hysteroscopy as a first‐line diagnostic procedure?

“…B-Lynch sutures provide a useful conservative surgical technique avoiding hysterectomy, especially in hospitals without interventional radiology support. The pregnancy rate also seems to be acceptable after the B-Lynch surgical technique (4), but systematic followup data are scarce and based on relatively small study populations (4,5).…”