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Fertility and pregnancy outcomes following B ‐ L ynch sutures for post‐partum hemorrhage
Author(s) -
Tadakawa Mari,
Sugawara Junichi,
Saito Masatoshi,
Nishigori Hidekazu,
Utsunomiya Hiroki,
Nagase Satoru,
Tokunaga Hideki,
KurakataNakamura Michiyo,
Sugiyama Takashi,
Yaegashi Nobuo
Publication year - 2015
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12590
Subject(s) - medicine , obstetrics , pregnancy , post partum , fertility , gynecology , population , environmental health , biology , genetics
Aim The aim of this study was to investigate the long‐term fertility prognosis after B ‐ L ynch sutures for post‐partum hemorrhage ( PPH ). Methods A retrospective observational study was conducted on patients who underwent B ‐ L ynch sutures in our hospital between 2005 and 2010. Patient data was collected from hospital records. Information regarding subsequent pregnancies and menstrual complications were obtained by posted questionnaires and telephone interviews with patients who avoided hysterectomy. Results A total of 28 B ‐ L ynch sutures were performed in 3976 deliveries, all in patients that underwent cesarean section. Twenty‐two of the 26 patients who avoided hysterectomy answered our questionnaire or took part in an interview. All patients recovered regular menstruation with no severe complications. Of the 19 patients who wanted another child, 12 patients (63.2%) had 14 subsequent pregnancies in a mean follow‐up period of 52.1 months. The results of pregnancies were nine uncomplicated term pregnancies, all delivered by elective cesarean section, two artificial abortions and three miscarriages. A significant difference was observed in the age of patients with subsequent pregnancies and those without pregnancies (30.8 vs 34.6 years, P = 0.04). Conclusion B ‐ L ynch sutures for PPH do not appear to jeopardize fecundity. An older age was a risk factor for achieving subsequent pregnancies.