Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Nalini, Neelam, Kumar, Amit, Prasad, Manoj K, Singh, Aditya V, Sharma, Saumya, Singh, Bijeta, Singh, Triyan H, Kumar, Pramod, Singh, Harsh V, Singh, Shreshtha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
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
_version_ 1784846558426038272
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
work_keys_str_mv AT nalinineelam obstetricandmaternaloutcomesafterblynchcompressionsuturesametaanalysis
AT kumaramit obstetricandmaternaloutcomesafterblynchcompressionsuturesametaanalysis
AT prasadmanojk obstetricandmaternaloutcomesafterblynchcompressionsuturesametaanalysis
AT singhadityav obstetricandmaternaloutcomesafterblynchcompressionsuturesametaanalysis
AT sharmasaumya obstetricandmaternaloutcomesafterblynchcompressionsuturesametaanalysis
AT singhbijeta obstetricandmaternaloutcomesafterblynchcompressionsuturesametaanalysis
AT singhtriyanh obstetricandmaternaloutcomesafterblynchcompressionsuturesametaanalysis
AT kumarpramod obstetricandmaternaloutcomesafterblynchcompressionsuturesametaanalysis
AT singhharshv obstetricandmaternaloutcomesafterblynchcompressionsuturesametaanalysis
AT singhshreshtha obstetricandmaternaloutcomesafterblynchcompressionsuturesametaanalysis