Research Article
Alternate Sequential Suture Tightening: A Novel Technique for Uncontrolled Postpartum Hemorrhage
Table 1
Showing diagnoses, treatment, complications, blood loss, and hospital stay.
| Age of patient (yrs) | Diagnosis | Preop Hb (gm%) | Technique | O | Estimated blood loss (mL) | Postop Hb (gm%) | Number of units of blood transfusion | Hospital stay (days) | Complications |
| 29 | G2P1L1 37 wks with fetal distress | 8.4 | Failed MBLS; ASTS | S | 1400 | 8.9 | 2 | 10 | Fever for 3 days |
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24.5 | Primi. with 40 weeks with thick meconium in early labor | 7.8 | Failed MT ASTS | S | 1900 | 8.3 | 3 | 8 | — |
| 35 | G5P4L4 with 36 wks with APH (PP IIb) | 9.7 | Failed MT ASTS | S | 1600 | 9.2 | 1 | 16 | — |
| 33 | G3A2 with 41 weeks with PROM | 9.4 | Failed MT ASTS | S | 1800 | 9.3 | 2 | 10 | — |
| 29 | G3A2 with 41 weeks with CPD | 8.9 | Failed MT ASTS | S | 1500 | 9.6 | 2 | 8 | Superficial infection |
| 31 | G3A2 with 37 wks with gestational HTN with failed induction | 10.1 | Failed MT ASTS | S | 1900 | 9.2 | 1 | 8 | — |
| 26 | G2A1 with thick meconium in early labor | 8.7 | Failed MT ASTS | S | 1800 | 9.4 | 2 | 8 | — |
| 36 | G5A2P2L2 with 36 wks with previous 2 LSCS | 9.8 | Failed MT ASTS | S | 1600 | 9.4 | 1 | 10 | Fever for 3 days |
| 37.5 | G7AOP6L3 with 38 wks with placenta previa with APH | 7.6 | A failed MT STS | S | 1700 | 9.3 | 4 with 10 units of FFP | 8 | |
| 28.5 | G3A1P1L1 with 39 wks with prolonged LPV with failed induction | 12.2 | Failed MT ASTS | S | 1400 | 11.3 | | 16 | |
| 30 | G4A1P2L1 with 37 wks with previous 2 LSCS | 8 | Failed MT ASTS | S | 1300 | 9.7 | | 10 | |
| 27 | G2P1L1 with 39 | 9.8 | Failed MT ASTS | S | 1600 | 9.4 | 1 | 8 | Superficial infection |
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O: outcome; S: successful; EBL: estimated blood loss; MBLS: modified B-Lynch suture; ASTS: Alternate Sequential Suture Tightening; APH: antipartum hemorrhage; MT: medical treatment; PP: placenta previa; PROM: prelabor rupture of membrane; CPD: cephalopelvic disproportion; LPV: leaking per vagina; FFP: fresh frozen plasma; LSCS: lower segment cesarean section.
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