{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T19:06:08Z","timestamp":1785870368658,"version":"3.56.0"},"reference-count":15,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,9,11]],"date-time":"2022-09-11T00:00:00Z","timestamp":1662854400000},"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":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>We aimed to evaluate the clinical outcomes and adverse events of preventive B\u2010Lynch suture performed during cesarean section in patients at a high risk of postpartum hemorrhage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective observational study included patients who underwent a cesarean section and the B\u2010Lynch suture at a tertiary perinatal medical center between January 2019 and May 2021. The B\u2010Lynch sutures were placed preventively before excessive blood loss occurred in patients with uterine atony, placental position abnormality (placenta previa and low\u2010lying placenta), placenta accreta, thrombocytopenia, coagulopathy, and other risk factors of bleeding. Partial compression sutures for bleeding points and vaginal gauze packing were placed if required.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The B\u2010Lynch suture was performed in 38 patients, and hysterectomy was avoided in all patients. Only one patient required intrauterine balloon tamponade as an additional treatment 5\u2009days after the cesarean section. No apparent postoperative bleeding occurred within 2\u00a0h after the cesarean section in 35 patients (92%), and blood transfusion was avoided in 14 patients (37%). Thirty\u2010three adverse events occurred in 23 patients; these included an inflammatory response, hematomas, retained products of conception, and ileus in one, two, and two patients, respectively. In most cases, the events were not severe and were unrelated to the procedure. In one patient, a second\u2010look operation was performed and no complications were observed in the uterus and abdominal cavity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Preventive B\u2010Lynch suture seemed effective and safe after a short\u2010term observation. When excessive bleeding is expected during a cesarean section, an early introduction of this procedure is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.15415","type":"journal-article","created":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T02:50:48Z","timestamp":1662951048000},"page":"3111-3118","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effectiveness of preventive <scp>B\u2010Lynch<\/scp> sutures in patients at a high risk of postpartum hemorrhage"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1623-7187","authenticated-orcid":false,"given":"Mayuka","family":"Kuwabara","sequence":"first","affiliation":[{"name":"Department of Fetal \u2010 Maternal Medicine, Obstetrics Gifu Prefectural General Medical Center  Gifu 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