Abstract:Objective To observe the effect of uterine balloon combined with B-Lynch suture on postpartum hemorrhage after cesarean section. Methods A retrospective study was performed on the clinical data of 181 patients with postpartum hemorrhage from June 2013 to June 2018.According to the treatment methods,the patients were divided into three groups:Balloon group (treated with uterine balloon compression,n=62),B-Lynch group (treated with B-Lynch suture,n=66) and combination group (treated with uterine Bakri balloon combined with B-Lynch suture,n=53 ).The hemostatic efficacy,bleeding volume (intraoperative and 24 hours after operation),blood transfusion volume,complications (puerperal disease,wound infection,fever),uterine recovery (vaginal bleeding volume,uterine contraction,lochia) were observed and compared among the three groups. Results Postoperative hemorrhage was effectively controlled in three groups.The hemostasis efficiency in combined group was significantly better than that in Balloon group (96.23% vs 83.87%,P<0.05).The amount of bleeding and blood transfusion in combined group decreased significantly compared with balloon group and B-Lynch group (P<0.05).The uterine recovery rate in combined group was statistically better than that in B-Lynch group (94.34% vs 81.82%,P<0.05). ConclusionThe uterine balloon combined with b-lynch suture has a good effect on postpartum hemorrhage of cesarean section and can reduce maternal hemorrhage,alleviate postoperative infection and improve uterine recovery effectively.