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Objective: To determine the success rate of intrauterine balloon tamponade versus B Lynch suture in the management of severe postpartum hemorrhage. Study Design: Randomized controlled trial. Place and Duration of Study: This study was conducted in department of Obstetrics and Gynaecology, Combined Military Hospital, Bahawalpur, from Jan 2017 to Jun 2017. Materials and Methods: A total of 104 patients with severe postpartum hemorrhage, 20 to 35 years of age of gestational age 36-42 weeks were included in the study. Patients with genital tract trauma, retained products of conception, ruptured uterus and any bleeding disorderwere excluded. Then selected patients were placed randomly into group A (intrauterine balloon tamponade) & group B (B Lynch suture) by using lottery method. Outcome variables like control of bleeding within 15 minutes after procedure (success rate) was noted. Results: The mean age of women in group A was 27.69 ± 3.68 years and in group B was 27.60 ± 3.65 years. The mean gestational age in group A was 39.98 ± 1.57 weeks and in group B was 40.04 ± 1.68 weeks. Success was 67.31% in group A (intrauterine balloon tamponade) and 88.46% in group B (B Lynch suture) with p-value of 0.009, showing statistically significant difference between the two groups. Conclusion: This study concluded that success rate (stoppage of bleeding within 15 minutes) of B Lynch suture is better as compared to intrauterine balloon tamponade in the management of severe postpartum hemorrhage and should be used as first line procedure in controlling severe PPH. [ABSTRACT FROM AUTHOR]

Objective: To conduct a five-year bibliometric analysis of Pakistan Armed Forces Medical Journal from 2011 to 2015. Study Design: Retrospective secondary data analysis. Place and Duration of Study: Department of General Surgery, Combined Military Hospital Bahawalpur. Material and Methods: The data of all publications excluding editorials and letters to editor published in Pakistan Armed Forces Medical Journal (PAFMJ) from 2011 to 2015 was downloaded from the Journal website and analyzed in terms of bibliometric parameters. Results: Total number of research documents from 2011 to 2015 was 749, comprising of 648 original articles, 13 review articles and 88 case reports. The number of publications per year ranged from 130 to 186. Three-author contributions ranked the highest with 214 publications (28.57%). Most of the publications have an average of 11-20 citations (n=394, 52.60%). Pathology should have been further classified remained the most popular medical specialty with 83 publications (11.08%). Conclusion: The issue numbers per year for PAFMJ and have been gradually increased over time. Original articles are the main type of papers for this journal. The publication is open for all fields of medical and dental sciences. [ABSTRACT FROM AUTHOR]