{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:08:10Z","timestamp":1791230890134,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,11,20]],"date-time":"2012-11-20T00:00:00Z","timestamp":1353369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Uterine compression suturing is considered a successful, safe, inexpensive and simple \u200emethod for the conservative treatment of atonic postpartum haemorrhage (<jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>). However, insufficient data are available about the potential risk of subsequent intrauterine \u200esynechiae (<jats:styled-content style=\"fixed-case\">IUS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine the risk of postpartum uterine synechiae in women who received isolated uterine compression suturing for the management of major uncontrolled PPH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials &amp; Methods<\/jats:title><jats:p>All women with major <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> from <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ay 2005 to <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>une 2011 were reviewed retrospectively. Diagnostic hysteroscopy was performed to assess the uterine cavity in the 27 women who successfully underwent isolated uterine compression suturing for major atonic <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> and fulfilled the study inclusion and exclusion criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 27 women who underwent isolated uterine compression suturing, 5 (18.5%) were found to have <jats:styled-content style=\"fixed-case\">IUS<\/jats:styled-content> on hysteroscopic examination. The mode of delivery for all women who developed <jats:styled-content style=\"fixed-case\">IUS<\/jats:styled-content> was caesarean section. Among these five women, three had mild <jats:styled-content style=\"fixed-case\">IUS<\/jats:styled-content>, one had moderate <jats:styled-content style=\"fixed-case\">IUS<\/jats:styled-content> and one had severe <jats:styled-content style=\"fixed-case\">IUS<\/jats:styled-content>. All adhesions were later successfully resected by hysteroscopy, except for one case with dense <jats:styled-content style=\"fixed-case\">IUS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Uterine compression suturing was found to be associated with a risk of postpartum uterine synechiae formation, which may subsequently affect future fertility.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12017","type":"journal-article","created":{"date-parts":[[2012,11,20]],"date-time":"2012-11-20T07:26:46Z","timestamp":1353396406000},"page":"37-45","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Risk of postpartum uterine synechiae following uterine compression suturing during postpartum haemorrhage"],"prefix":"10.1111","volume":"53","author":[{"given":"Moustafa I.","family":"Ibrahim","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Ain Shams 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