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A RESEARCH STUDY TO ASSESS THE SUCCESS RATE BETWEEN INTRAUTERINE BALLOON TAMPONADE AND B-LYNCH SUTURE TO TREAT PPH PATIENTS

Dr. Muhammad Yasir Aslam, Dr. Nazia Bibi, Dr Faria Ambreen

Objective: The determination of success rate between B Lynch suture and intrauterine balloon tamponade in the treatment of severe PPH (post-partum haemorrhage) is the objective of the research. Material and Method: The model of the research was RCT which was performed at Services Hospital, Lahore from August 2018 to February 2019. The number of intense post-delivery haemorrhage patients enrolled for research was one-hundred and four. The age of the enrolled patients was between twenty to thirty-five years with thirty-six to forty-two weeks of pregnancy age. Those females who are suffering from genital tract trauma, ruptured uterus, retained products of conception as well as bleeding irregularity was not included in the research. The entire enrolled patients for research were irregularly divided into two categories, which are intrauterine balloon tamponade (category A) and B lynch suture (category B) by utilizing the lottery technique. A resultant variable such as restraining of bleeding in fifteen minutes after the operation was recorded. Results: The average age of females in category “A” was (27.69 ± 3.68) years and in category “B”, it was (27.60 ± 3.65) years. The average pregnancy age in category “A” as well as in category “B” was (39.98 ± 1.57) weeks and (40.04 ± 1.68) weeks respectively. Whereas success rate in category “A” was 67.31% and in category “B” was 88.46% with (P value= 0.009). Conclusion: The research determines that success rate in term of bleeding controlled in fifteen minutes of category “B” (b lynch suture) is much better with respect to category “A” (intrauterine balloon tamponade) in the treatment of severe post-delivery haemorrhage and should be utilized as first-line procedure in managing severe postpartum haemorrhage. Keywords: Postpartum haemorrhage (PPH), caesarean, hysterectomy.

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