Since the advent of uterine compression suture by B-Lynch, numerous techniques have been advocated. We aim to discuss these various techniques with respect to their efficacy, safety, complications, complexity of the technique itself, future fertility and menstrual periods. Since no randomized controlled trials are available, the conclusions are based on weak data derived from observational studies and case series. A success rate of 91.7% has been reported for various uterine compression sutures. There are concerns regarding closure of uterine cavity and blood entrapment resulting in infection, pyometra and adhesions as the uterus will be transfixed from front to back in some of the suturing techniques. Long-term follow-up regarding fertility of patients who had uterine compression sutures is urgently needed. Data on menstrual periods after uterine compression sutures is limited. Our review is limited in nature due to lack of consistent data on many important outcomes and also preclinical variables.

Purpose To examine whether women seeking care from obstetrician-gynaecologists prefer to see a female or a male doctor or have no preference. Methods Five hundred consecutive women attending gynaecology and antenatal clinics were asked to complete a survey questionnaire containing 12 items requiring opinion on whether they want to be seen by a female or male obstetrician-gynaecologist or have no preference. It also contained questions regarding their reasons for the stated preference. Results Of the consecutive 500 patients that were given the questionnaire, 435 responded (87% response rate). Two hundred and twenty-Wve patients had no preference, 194 patients preferred female obstetrician-gynaecologist and 16 patients preferred male obstetrician-gynaecologist. The reasons stated by women who preferred to see a female doctor were as follows: religious beliefs-5%, understands problems better-48%, unspeciWed reasons-6%, issues of personal modesty-41%. All 16 women who preferred to see a male doctor stated the reason as 'understands problems better' (100%). Conclusions The majority of women expressed no preference to either gender of their obstetrician and gynaecologists, but signiWcant proportion of the remainder would prefer to see a female doctor when given the choice. Although women gave a variety of subjective reasons for this, demographically it appears that women who are less educated with lower income and being non-white are more likely to prefer to see a female doctor.

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