{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T05:36:14Z","timestamp":1764308174413,"version":"3.46.0"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Objective This study aims to define a new compression suture technique\n                    that is easy to apply and effective in stopping PPH immediately.<\/jats:p>\n                  <jats:p>Study Design This is a retrospective study of 22 women who received\n                    Acar's uterine compressive atony sutures at a single tertiary hospital\n                    between January 2021 and November 2023. Demographic and obstetric data were\n                    collected. Outcomes included units of blood transfused, intraoperative and\n                    postoperative adverse events, duration of hospital admission, and hysterectomy\n                    rate.<\/jats:p>\n                  <jats:p>Results The new suture technique was successful in all cases. Acar's\n                    atony suture effectively stopped PPH due to uterine atony. None of the patients\n                    needed a hysterectomy. Ten (45.5%) patients received blood product transfusions.\n                    Only two of the patients (9%), both of whom had given birth in an external\n                    center and in whom the suture was applied afterwards, needed a a stay in the\n                    postoperative intensive care unit. The mean hospital stay was 4\u00b11 days.<\/jats:p>\n                  <jats:p>Conclusions Acar's atony suture is a practical, feasible, and\n                    uterine-sparing technique for PPH due to uterine atony.<\/jats:p>","DOI":"10.1055\/a-2441-6846","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T19:39:23Z","timestamp":1731353963000},"page":"195-200","source":"Crossref","is-referenced-by-count":1,"title":["A new technique: Acar's atony suture for postpartum uterine\n                    hemorrhage"],"prefix":"10.1055","volume":"229","clinical-trial-number":[{"clinical-trial-number":"nct06353074","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Ali","family":"Acar","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Necmettin Erbakan\n                    Universitesi Meram Tip Fakultesi, Konya, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6276-1345","authenticated-orcid":false,"given":"Cemre","family":"Alan","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Necmettin Erbakan\n                    University, Meram, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3383-2837","authenticated-orcid":false,"given":"\u015e\u00fckran","family":"Do\u011fru","sequence":"additional","affiliation":[{"name":"Maternal and Fetal Medicine, Necmettin Erbakan\n                    University Meram Medical Faculty Hospital, Konya, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"ref1","first-page":"e323","article-title":"Global causes of maternal death: a WHO systematic analysis. Lancet","volume":"2","author":"L Say","year":"2014","journal-title":"Glob Health"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.ejogrb.2022.08.008","article-title":"Uterine preservation with Alcides-Pereira\u2019s compressive sutures for postpartum\n                    uterine atony","volume":"277","author":"R R Santos","year":"2022","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"103207","DOI":"10.1016\/j.ijoa.2021.103207","article-title":"Refractory uterine atony: still a problem after all these years","volume":"48","author":"M Balki","year":"2021","journal-title":"Int J Obstet Anesth"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1213\/ANE.0b013e3181d74898","article-title":"The epidemiology of postpartum hemorrhage in a large, nationwide sample of\n                    deliveries","volume":"110","author":"B T Bateman","year":"2010","journal-title":"Anesth Analg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1111\/j.1471-0528.2008.01859.x","article-title":"Prevalence and risk factors of severe obstetric haemorrhage","volume":"115","author":"I Al-Zirqi","year":"2008","journal-title":"BJOG"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1111\/aogs.13542","article-title":"Women receiving massive transfusion due to postpartum hemorrhage: A comparison\n                    over time between two nationwide cohort studies","volume":"98","author":"P I Ramler","year":"2019","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12884-018-1829-7","article-title":"Risk factors for peripartum hysterectomy among women with postpartum\n                    haemorrhage: analysis of data from the WOMAN trial","volume":"18","author":"S Huque","year":"2018","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1111\/j.1471-0528.1997.tb11471.x","article-title":"The B-Lynch surgical technique for the control of massive postpartum\n                    haemorrhage: an alternative to hysterectomy? Five cases reported","volume":"104","author":"C B-Lynch","year":"1997","journal-title":"Br J Obstet Gynaecol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"e9","DOI":"10.1016\/j.ajog.2006.10.887","article-title":"The uterine sandwich for persistent uterine atony: combining the B-Lynch\n                    compression suture and an intrauterine Bakri balloon","volume":"196","author":"W L Nelson","year":"2007","journal-title":"Am J Obstet Gynecol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1097\/01.AOG.0000267499.40531.a4","article-title":"Uterine compression sutures for postpartum hemorrhage: efficacy, morbidity, and\n                    subsequent pregnancy","volume":"110","author":"T F Baskett","year":"2007","journal-title":"Obstet Gynecol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1002\/ijgo.12593","article-title":"Conservative management of placental invasion anomalies with an intracavitary\n                    suture technique","volume":"143","author":"A Acar","year":"2018","journal-title":"Int J Gynaecol Obstet"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1097\/01.AOG.0000168434.28222.d3","article-title":"Compressive uterine sutures to treat postpartum bleeding secondary to uterine\n                    atony","volume":"106","author":"A Pereira","year":"2005","journal-title":"Obstet Gynecol"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1002\/ijgo.14985","article-title":"Comparison of H-Hayman uterine compression suture with conventional vertical\n                    sutures: A cross-sectional study in a tertiary center","volume":"163","author":"R Denizli","year":"2023","journal-title":"Int J Gynaecol Obstet"},{"key":"ref14","first-page":"502","article-title":"Uterine compression sutures: surgical management of postpartum hemorrhage","volume":"99","author":"R Hayman","year":"2002","journal-title":"Obstet Gynecol"},{"key":"ref15","first-page":"129","article-title":"Hemostatic suturing technique for uterine bleeding during cesarean delivery","volume":"96","author":"J H Cho","year":"2000","journal-title":"Obstet Gynecol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.ijgo.2005.11.004","article-title":"Compression sutures for uterine atony and hemorrhage following cesarean\n                    delivery","volume":"92","author":"G Nelson","year":"2006","journal-title":"Int J Gynaecol Obstet"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1111\/j.1479-828X.2008.00936.x","article-title":"Uterine compression sutures for post-partum bleeding with atony; modification of\n                    the B-Lynch suture","volume":"49","author":"J P Marasinghe","year":"2009","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1111\/j.1600-0412.2010.01048.x","article-title":"Modified anchored B-Lynch uterine compression suture for post partum bleeding\n                    with uterine atony","volume":"90","author":"J P Marasinghe","year":"2011","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1080\/00016340601089875","article-title":"Lower uterine blood supply: extrauterine anastomotic system and its application\n                    in surgical devascularization techniques","volume":"86","author":"JM P Jaraquemada","year":"2007","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1196\/annals.1335.002","article-title":"The vascular cast of the human uterus: from anatomy to physiology","volume":"1034","author":"E Cicinelli","year":"2004","journal-title":"Ann N Y Acad Sci"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1097\/AOG.0000000000005403","article-title":"Intrauterine postpartum hemorrhage \u2013 control devices","volume":"142","author":"T L Jackson","year":"2023","journal-title":"Obstet Gynecol"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2441-6846.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T05:34:24Z","timestamp":1764308064000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2441-6846"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,11]]},"references-count":21,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,5,19]]},"published-print":{"date-parts":[[2025,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2441-6846","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"type":"print","value":"0948-2393"},{"type":"electronic","value":"1439-1651"}],"subject":[],"published":{"date-parts":[[2024,11,11]]}}}