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Original Research | Obstetrics and Gynecology | Volume 15 Issue 4, April 2026 | Pages: 1855 - 1859 | India
Conservative Surgical Management of Refractory Uterine Atony During Caesarean Section: A Case Series from Secondary-Level Hospitals
Abstract: Background: Post partum haemorrhage (PPH) is a common obstetric emergency, uterine atony being the leading cause, contributing to increased risk of maternal morbidity and mortality. Purpose of the study: To report experience with uterine compression suture, on atonic uterus refractory to medical management in low resource setting. Methods: 3 primigravida developed refractory uterine atony during full term lower segment caesarean section between July and December 2025 at secondary level hospitals in Ahmedabad, Gujarat. All patients received stepwise uterotonics followed by surgically intervention- bilateral uterine artery ligation and Hayman and Cho compression sutures. Results: Haemostasis was achieved in all cases with compression sutures. No patient had any subsequent episodes of post-partum haemorrhage and none of them required any further intervention post compression sutures. Their postoperative recovery was uneventful. Conclusion: Hayman and Cho compression sutures are simple, effective, life-saving and fertility preserving surgical approach in the treatment of atonic uterus refractory to medical management. Their use in atonic uterus in secondary care setting was to treat patient and prevent further blood loss and its complications.
Keywords: Atonic uterus, uterine compression suture, Hayman suture, Cho suture
How to Cite?: Dr. Trusha Parikh, "Conservative Surgical Management of Refractory Uterine Atony During Caesarean Section: A Case Series from Secondary-Level Hospitals", Volume 15 Issue 4, April 2026, International Journal of Science and Research (IJSR), Pages: 1855-1859, https://www.ijsr.net/getabstract.php?paperid=SR26428190331, DOI: https://dx.dx.doi.org/10.21275/SR26428190331