A Case Report of Uterine Myometrial Defect Following Hayman and Square Sutures for Postpartum Hemorrhage

Uterine atony due to postpartum hemorrhage (PPH) is an important factor in maternal morbidity and mortality.Various compression suture techniques have been described in order to manage PPH.Here, we describe a case complicated by myometrial necrosis following Hayman and square sutures.Here, we describe a case complicated with myometrial necrosis after Hayman and square sutures to control hemorrhage due to uterine atony after cesarean delivery (C-section).A 32-year-old female patient with a history of chronic hypertension and in vitro fertilization pregnancy after primary infertility was admitted to our clinic with vaginal bleeding on her 33 rd week of gestation.Fetal bradycardia was observed, and emergency C-section was performed.PPH occurred due to uterine atony and hemorrhage was managed with Hayman and square sutures.Postpartum 1 st year ultrasound revealed myometrial defect in uterine fundus.Patients should be informed about possible complications of compression sutures and postoperative follow-up is necessary to confirm uterine wall integrity.We suggest a national database in order to document the efficiency and long-term complications of the procedure.