{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T02:06:05Z","timestamp":1791857165382,"version":"4.3.4"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the clinical application and efficacy of a novel suturing technique\u2014uterine mesh compression suturing\u2014in the treatment of refractory postpartum hemorrhage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was performed on the clinical data of 45 patients with refractory postpartum hemorrhage who underwent uterine mesh compression suturing. The surgical efficacy and safety were systematically evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Active uterine bleeding was controlled in all patients within 10\u202fmin postoperatively. The cumulative vaginal bleeding volume at 2\u202fh post-surgery was less than 20\u202fmL, indicating effective hemostasis. MRI on postoperative day 4 revealed scattered punctate signals in the uterine wall, with no intrauterine fluid accumulation. At 42\u202fdays post-surgery, MRI showed a uniform signal in the myometrium and a clear endometrial line. Ultrasound at 42\u202fdays post-surgery demonstrated normal uterine size, uniform myometrial echogenicity, and good healing. Hysteroscopy at 6\u202fmonths post-surgery revealed no intrauterine adhesions and clear fallopian tube ostia. All 45 patients resumed normal menstrual cycles 1\u20132\u202fmonths after cessation of breastfeeding. Ten patients became pregnant again postoperatively: four underwent repeat cesarean deliveries, and six had artificial abortions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Uterine mesh compression suturing is an effective method for controlling refractory postpartum hemorrhage. This technique can be used as an intervention for patients with refractory postpartum hemorrhage unresponsive to traditional hemostatic methods, or those with blood loss \u22651,500\u202fmL during cesarean section. It holds promise for broader clinical application.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2025.1675709","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T15:13:12Z","timestamp":1765552392000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Uterine mesh compression suturing for refractory postpartum hemorrhage: a retrospective study of 45 cases"],"prefix":"10.3389","volume":"12","author":[{"given":"Dan","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chendi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"164","DOI":"10.3760\/cma.j.cn112141-20230819-00056","article-title":"Research progress in diagnosis and treatment of severe postpartum hemorrhage","volume":"59","author":"Wang","year":"2024","journal-title":"Chin J Obstetrics Gynecol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"385","DOI":"10.19538\/j.fk2024040101","article-title":"Research status and thinking of postpartum hemorrhage in China","volume":"40","author":"Zhao","year":"2024","journal-title":"Chin J Obstetrics Gynecol"},{"key":"ref3","volume-title":"Primary postpartum haemorrhage (PPH) Queensland Clinical Guideline No. MN24.1-V12-R29","year":"2024"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1186\/s12884-021-03818-1","article-title":"Prevalence and risk factors of severe postpartum hemorrhage: a retrospective cohort study","volume":"21","author":"Liu","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1111\/j.1471-0528.1998.tb09366.x","article-title":"The B-Lynch surgical technique for the control of nlassive postpartum haemorrhage:an alternative to hystereetomy?Five eases reposed","volume":"104","author":"B-Lynch","year":"1997","journal-title":"Br J Obstet Gynaecol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1111\/j.1471-0528.1998.tb09366.x","article-title":"The B-Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? 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