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

Capsule:
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.

Author:
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.

Translate »