OBJECTIVE: Aim of this study is to criticize the women with postpartum hemorrhage due to uterine atony after vaginal delivery. STUDY DESIGN: This was a retrospective analysis performed in Şanlıurfa Maternity Hospital, from September 2008 to August 2010. Criteria for inclusion of the patients in the study were requirement of B-Lynch suture for intractable postpartum hemorrhage (PPH) due to uterine atony after vaginal delivery. The cases were identified by searching operating room records and

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... oom records and patient files. There were 51 cases that B-Lynch suture was performed for intractable PPH due to uterine atony after vaginal delivery. In group 1 there were 12 cases that B-Lynch suture was failed and lead to hysterectomy and in group 2 there were 39 patients that B-Lynch suture achieved to cease the hemorrhage. RESULTS: In group 1; the mean age, gravidity and parity of women were 31±4.8, 5.2±2 and 3.8±2.2 respectively. Several high-risk antenatal obstetric to conditions were observed in 8 of 12 (66.7%) women. Induction or augmentation of labor was performed all of the patients who required hysterectomy. In group 2; the mean age, gravidity and parity of women were 26.5±5.5, 3.6±1.9 and 2.3±1.9 respectively. Induction or augmentation of labor was performed 8 of 39 women (20.1%) in group 2. CONCLUSION: Multiparity and induction or augmentation of labor seems to be the major characteristics of women who required hysterectomy after failed B-Lynch suture.