{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:39:04Z","timestamp":1790807944571,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,8,19]],"date-time":"2020-08-19T00:00:00Z","timestamp":1597795200000},"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":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of the study was to evaluate the efficacies and possible short\u2010term complications in women receiving uterine compression sutures only and those with additional hemostatic procedures for the management of postpartum hemorrhage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>It was a retrospective study carried out from year 2009 to 2019 at a tertiary obstetric hospital and included 79 women who underwent uterine compression sutures (B\u2010Lynch sutures, Hayman's sutures and Cho's sutures) for primary postpartum hemorrhage. Thirty\u2010six of these women had additional hemostatic procedures (uterine artery ligation or embolization) performed for bleeding control.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 43 women who were primarily treated with uterine compression sutures only, the success rate to preserve the uterus was 97.7% (42\/43). In women with uterine compression sutures and additional hemostatic procedures performed, the success rate was 75% (27\/36). Among these two groups of women without peripartum hysterectomy, there were no significant differences in the incidence of secondary postpartum hemorrhage (14.8% vs. 11.9%; <jats:italic>P<\/jats:italic> = 0.729), postoperative endometritis (14.8% vs. 14.3%; <jats:italic>P<\/jats:italic>\u2009&gt;\u20090.99) and retained products of conception (3.7% vs. 9.5%; <jats:italic>P<\/jats:italic> = 0.641) during their 6\u2010week postpartum checkup. Three women were diagnosed to have hematometra. No pyometra or uterine necrosis was noted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Uterine compression sutures with additional hemostatic procedures are effective to control postpartum hemorrhage and prevent hysterectomy. The short\u2010term complication rate is low. Long\u2010term monitoring is needed to identify rare but potentially dangerous complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.14426","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T08:07:24Z","timestamp":1598602044000},"page":"2332-2339","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Uterine compression sutures with additional hemostatic procedures for the management of postpartum hemorrhage"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1112-6691","authenticated-orcid":false,"given":"Lee Ting","family":"Kwong","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Tuen Mun Hospital  Tuen Mun Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Po Lam","family":"So","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Tuen Mun Hospital  Tuen 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