Later reproductive health after B Lynch sutures A follow up study after 10 years clinical use of the B Lynch suture

The reproductive prognosis after a B-Lynch suture has been placed seems to be good. Nonetheless, complications that might influence future pregnancy may occur, and advice given should address this.

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Authors

Jens Fuglsang, Ph.D., M.D.

Volume 101, Issue 4, Pages 1194-1199

Abstract

Objective:

To evaluate the reproductive prognosis after having a B-Lynch suture placed previously.

Design:

Follow-up study based on patients’ records.

Setting:

University hospital setting (level three; 4,800 deliveries per year).

Patient(s):

All patients registered to have had a B-Lynch suture placed from 2002 to 2012.

Intervention(s):

None.

Main Outcome Measure(s):

Future pregnancies.

Result(s):

Forty-four B-Lynch procedures were identified in 43 women. Twenty-six were primiparas at the time of B-Lynch suture. Follow-up took place a median 45 months (range, 17–126 months) after B-Lynch suture placement; one woman was lost to follow-up. Overall, 16 of 42 women obtained a new pregnancy. Among primiparas, 44% either had an ongoing pregnancy or a delivery. Among women not having a succeeding pregnancy, one woman had a peripartum hysterectomy, one was advised against pregnancy, one developed Asherman’s syndrome, and three women were known to attempt to obtain pregnancy. In deliveries after a previous B-Lynch suture, 3 of 13 women had estimated bleeding above 1,000 mL, and 2 of these had severe bleeding. A time trend was observed indicating that B-Lynch sutures are placed increasingly often.

Conclusion(s):

The reproductive prognosis after a B-Lynch suture has been placed seems to be relatively good. Nonetheless, complications that might influence future pregnancy may occur, and advice given should address this.

Read the full text at: http://www.fertstert.org/article/S0015-0282(14)00046-6/fulltext


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Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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