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Archives of Gynecology and Obstetrics

, Volume 299, Issue 1, pp 113–121 | Cite as

Matsubara–Yano suture: a simple uterine compression suture for postpartum hemorrhage during cesarean section

  • Hironori Takahashi
  • Yosuke Baba
  • Rie Usui
  • Hirotada Suzuki
  • Kenji Horie
  • Hitoshi Yano
  • Akihide Ohkuchi
  • Shigeki Matsubara
Maternal-Fetal Medicine
  • 65 Downloads

Abstract

Aims

The aims of this study were to clarify: (i) the effectiveness of Matsubara–Yano uterine compression suture (MY) to achieve hemostasis in the presence of postpartum hemorrhage (PPH) during cesarean section, (ii) the type of PPH for which MY is effective, (iii) post-operative complications of MY, and (iv) outcomes of pregnancy after MY.

Methods

This retrospective observational study was performed using medical records of patients for whom MY had been performed between January 1, 2009 and December 31, 2017.

Results

MY was performed for 50 patients, with hemostasis achieved in 46 (92%). The other four (8%: 4/50) patients required transarterial embolization or hysterectomy. Of these four, three patients had placenta accreta spectrum (PAS) disorder-related bleeding. Post-operative complications were observed in three (6%: 3/50) patients, with all showing intrauterine infection. All three patients recovered solely with antibiotics. Eight pregnancies were confirmed (five livebirths, two spontaneous abortions in the first trimester, and one case of ongoing pregnancy). Of the five livebirths, one resulted in cesarean hysterectomy due to placenta previa with PAS disorders.

Conclusions

MY had a hemostatic effect on PPH. All cases except one with hemostatic failure were associated with PAS disorders, indicating that the hemostatic rate was lower in those with PAS than non-PAS disorders.

Keywords

Cesarean section Placenta accreta spectrum Postpartum hemorrhage Transarterial embolization Uterine compression suture 

Abbreviations

ART

Assisted reproductive technology

BW

Birth weight

CH

Cesarean hysterectomy

CS

Cesarean section

IQR

Interquartile range

MY

Matsubara–Yano uterine compression suture

MT holding

Matsubara–Takahashi holding the cervix

NICU

Neonatal intensive care unit

PAS

Placenta accreta spectrum

PPH

Postpartum hemorrhage

SA

Spontaneous abortion

TAE

Transarterial embolization

UCS

Uterine compression suture

Notes

Author contributions

HT: Contributed to the conception and design of the study, data collection, data analysis, and writing of the manuscript. YB and RU: Contributed to the investigation and writing of the manuscript. HS and KH: Contributed to the investigation. HY and AO: Contributed to the conception. SM: Contributed to the conception of the study and writing of the manuscript.

Funding

None.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest and received no funding regarding this study.

Ethical approval

All procedures performed in studies involving human participants were conducted in accordance with the provisions of the Declaration of Helsinki. This study was approved by the Ethics Committee of Jichi Medical University.

Informed consent

Not needed (situation described within the manuscript and response letter).

Approval of Institutional Review Board (IRB)

Obtained.

Patients’ anonymity

Preserved.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyJichi Medical UniversityShimotsukeJapan

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