Subsequent Evolution of Fertility after Surgical Treatment of Delivery Haemorrhage using the B-Lynch Technique at the Chumefje in Libreville (Gabon)
Assoumou Obiang P*, Minkobame U, Makoyo O, Mewie A, Ambounda N, Eya’ama R, Ntsame E, Minto’o J, Reteno R, Bang JA and Meye JF
ABSTRACT
Introduction: B-lynch suture is effective in controlling delivery haemorrhage due to uterine atony that is resistant to medical and obstetric measures. However, there are still concerns about the potential complications resulting from poor uterotubal perfusion.
Patients and Methods: This was a retrospective descriptive study of patients who underwent a B-Lynch technique at the Centre Hospitalier Universitaire Mère-Enfant Fondation Jeanne Ebori (CHUMEFJE) from January 1, 2019 to June 30, 2021.
Results: The mean age was 28.9 ± 3.7 years. The B-Lynch technique stopped haemorrhage in 20 (83.3%) patients. Immediate or short-term post-operative complications were dominated by haemorrhagic shock in 5 (20.8%) patients. No deaths were recorded. Return of childbirth was observed in 18 (90%) patients. Eight (40%) patients became pregnant spontaneously. None presented major complications during pregnancy.
Conclusion: The B-lynch technique is effective in cases of delivery haemorrhage caused by uterine atony that is resistant to medical and obstetric measures. It reduces maternal mortality while generally preserving subsequent fertility.
