Uterus is saved – what is next?

Abstract

All over the world, obstetric hemorrhage is still the major cause of maternal mortality, although about 90% of these deaths are preventable. We have commonly reviewed the algorithm for postpartum hemorrhage and covered the most common and often used surgical techniques obtaining haemostasis. Comparison of the effectiveness of conservative surgical techniques, separately or together, with respect to success rate (ability to stop bleeding and preserve the uterus), fertility rate (subsequent pregnancies or the return of regular menstrual cycles), complication rate of the procedure, and the outcomes of subsequent pregnancies in terms of type of delivery and eventual delivery complications.

Keywords:postpartum hemorrhage, uterine atony, B. Lynch suture, fertility, pregnancy