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Obstetric and Maternal Outcomes After B-Lynch Compression Sutures: A Meta-Analysis
This review article aimed to determine the obstetric and maternal outcomes after B-Lynch compression sutures to control atonic postpartum hemorrhage (PPH). This meta-analysis was performed after registering the protocol in the PROSPERO database with the registration number CRD42022355358. Two indepe...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9734287/ https://www.ncbi.nlm.nih.gov/pubmed/36514660 http://dx.doi.org/10.7759/cureus.31306 |
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author | Nalini, Neelam Kumar, Amit Prasad, Manoj K Singh, Aditya V Sharma, Saumya Singh, Bijeta Singh, Triyan H Kumar, Pramod Singh, Harsh V Singh, Shreshtha |
author_facet | Nalini, Neelam Kumar, Amit Prasad, Manoj K Singh, Aditya V Sharma, Saumya Singh, Bijeta Singh, Triyan H Kumar, Pramod Singh, Harsh V Singh, Shreshtha |
author_sort | Nalini, Neelam |
collection | PubMed |
description | This review article aimed to determine the obstetric and maternal outcomes after B-Lynch compression sutures to control atonic postpartum hemorrhage (PPH). This meta-analysis was performed after registering the protocol in the PROSPERO database with the registration number CRD42022355358. Two independent reviewers systematically searched electronic databases and search engines (PubMed, Cochrane Library, and Google Scholar) to retrieve published articles from inception to July 2022. The obstetric and maternal outcomes after the B-Lynch compression suture were computed using the random-effects model in pooled proportion with a 95% confidence interval (CI). Meta-regression analysis and subgroup analysis were performed to explain any source of possible heterogeneity. Quality assessment of the included studies was done using Joanna Briggs Institute (JBI) tools which are critical appraisal tools for systematic reviews and meta-analyses. This meta-analysis included a total of 30 studies involving 1,270 subjects. The pooled proportion of B-Lynch suture alone was 91% (95% CI = 82-97%). The combined proportion of B-Lynch suture plus another compression suture was 1% (95% CI = 0-3%), and the pooled proportion of B-Lynch suture plus vessel ligation was 3% (95% CI = 1-6%). The pooled proportions of PPH controlled and hysterectomies were 94% (95% CI = 91-97%, I(2) = 65.3%) and 7% (95% CI = 4-10%, I(2) = 72.13%), respectively. Therefore, B-Lynch suture (either alone or in combination with other techniques) is a simple and effective measure to control atonic PPH. |
format | Online Article Text |
id | pubmed-9734287 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-97342872022-12-12 Obstetric and Maternal Outcomes After B-Lynch Compression Sutures: A Meta-Analysis Nalini, Neelam Kumar, Amit Prasad, Manoj K Singh, Aditya V Sharma, Saumya Singh, Bijeta Singh, Triyan H Kumar, Pramod Singh, Harsh V Singh, Shreshtha Cureus Family/General Practice This review article aimed to determine the obstetric and maternal outcomes after B-Lynch compression sutures to control atonic postpartum hemorrhage (PPH). This meta-analysis was performed after registering the protocol in the PROSPERO database with the registration number CRD42022355358. Two independent reviewers systematically searched electronic databases and search engines (PubMed, Cochrane Library, and Google Scholar) to retrieve published articles from inception to July 2022. The obstetric and maternal outcomes after the B-Lynch compression suture were computed using the random-effects model in pooled proportion with a 95% confidence interval (CI). Meta-regression analysis and subgroup analysis were performed to explain any source of possible heterogeneity. Quality assessment of the included studies was done using Joanna Briggs Institute (JBI) tools which are critical appraisal tools for systematic reviews and meta-analyses. This meta-analysis included a total of 30 studies involving 1,270 subjects. The pooled proportion of B-Lynch suture alone was 91% (95% CI = 82-97%). The combined proportion of B-Lynch suture plus another compression suture was 1% (95% CI = 0-3%), and the pooled proportion of B-Lynch suture plus vessel ligation was 3% (95% CI = 1-6%). The pooled proportions of PPH controlled and hysterectomies were 94% (95% CI = 91-97%, I(2) = 65.3%) and 7% (95% CI = 4-10%, I(2) = 72.13%), respectively. Therefore, B-Lynch suture (either alone or in combination with other techniques) is a simple and effective measure to control atonic PPH. Cureus 2022-11-09 /pmc/articles/PMC9734287/ /pubmed/36514660 http://dx.doi.org/10.7759/cureus.31306 Text en Copyright © 2022, Nalini et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Family/General Practice Nalini, Neelam Kumar, Amit Prasad, Manoj K Singh, Aditya V Sharma, Saumya Singh, Bijeta Singh, Triyan H Kumar, Pramod Singh, Harsh V Singh, Shreshtha Obstetric and Maternal Outcomes After B-Lynch Compression Sutures: A Meta-Analysis |
title | Obstetric and Maternal Outcomes After B-Lynch Compression Sutures: A Meta-Analysis |
title_full | Obstetric and Maternal Outcomes After B-Lynch Compression Sutures: A Meta-Analysis |
title_fullStr | Obstetric and Maternal Outcomes After B-Lynch Compression Sutures: A Meta-Analysis |
title_full_unstemmed | Obstetric and Maternal Outcomes After B-Lynch Compression Sutures: A Meta-Analysis |
title_short | Obstetric and Maternal Outcomes After B-Lynch Compression Sutures: A Meta-Analysis |
title_sort | obstetric and maternal outcomes after b-lynch compression sutures: a meta-analysis |
topic | Family/General Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9734287/ https://www.ncbi.nlm.nih.gov/pubmed/36514660 http://dx.doi.org/10.7759/cureus.31306 |
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