October 24th, 2014

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Title:
A Note from the Editor-in-Chief
Authors:  Lawrence D. Devoe, M.D.
  Welcome to the May-June 2013 Editor-in-Chief’s page. This issue will focus on clinical articles that address issues relevant for the practicing obstetrician-gynecologist.
In This Issue:

• Menstrual Pattern and Intrauterine Adhesions After Transuterine Suture for Postpartum Hemorrhage
E. Caliskan, Y. Cakiroglu, O. Aynioglu, S. Ozkan, I. Yucesoy and A. Corakci

While postpartum hemorrhage remains a major contributor to maternal morbidity and mortality, there have been efforts to improve methods for uterine conservation in patients wishing to maintain fertility. Long-term follow-up on patients undergoing hypogastric ligation and uterine compression suture techniques like the B-Lynch method is limited, making it difficult to know whether patients who undergo these procedures will actually benefit. This study is relatively large considering the surgical techniques employed since many, if not most, patients with massive postpartum hemorrhage may not be candidates for conservative therapies. It is encouraging to note that the majority of patients had normal hysteroscopic examinations and regular menses following these operative interventions. While the number of patients desiring pregnancy and who actually achieved this goal is limited, this information should be considered optimistic in counseling patients who have undergone these procedures.
 
   
   
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