The Efficacy of the B-Lynch Procedure in Reducing Labor-Related Mortality and Morbidity in Low-Income Health Facilities in Low Setting Health Facilities

Ahmed Abdelkerim Ahmed Abdallah (), Nawal Ali Ahmed Mohamed (), Ahmed Amin Mohammed (), Manahil Shogar (), Hala Ibrahim Mohammed Khairalla (), Mohammed Adam Mohammed Ali (), Khalid Nasralla Habeeballa Hashim () and Hussain Gadelkarim Ahmed ()

International Journal of Health Sciences, 2024, vol. 7, issue 5, 31 - 44

Abstract: Purpose: Postpartum hemorrhage is a preventable cause of maternal death, yet it is rising in underdeveloped nations with low health resources. So, this study looked into whether B-Lynch and modified B-Lynch uterine compression sutures could stop major postpartum bleeding caused by uterine atonia in EL-Obeid, Sudan. Methodology: This is a descriptive longitudinal study undertaken at the Obstetrics and Gynecology hospitals in El-Obeid and Alfayhaa, located in North Kordofan State, Sudan. The study took place from January 2019 to December 2023. This study has registered a total of 218 individuals for participation. Findings: Using uterine compression sutures resulted in a remarkably low rate of problems, with only 2.3% of individuals experiencing adverse effects. About 71.5% of the study population did not have a blood transfusion. Only 0.9% of patients undergo peripartum hysterectomy. Registrars performed surgery on around 18.8% of the patients. The majority, approximately 45.4% of the patients, underwent elective cesarean sections for delivery. The majority of the cases, amounting to 66.5%, occurred in metropolitan areas. Individuals at the primary level of education reported the majority of the instances, accounting for 36.6%. The majority of events occurred within the age range of 21 to 25 years, accounting for 24.3% of the total. Unique contribution to theory, practice and policy: When uterotonic medications fail, uterine compression sutures are a safe, effective, and simple conservative surgical method for atonic postpartum hemorrhage. Well-trained doctors, including early careerists, can execute these simple procedures

Keywords: B-Lynch; Modified B-Lynch; EL-Obeid; Sudan; Atonia. (search for similar items in EconPapers)
Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:bhx:ojijhs:v:7:y:2024:i:5:p:31-44:id:2101

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