Intrauterine balloon tamponade in the management of postpartum hemorrhage.
نویسندگان
چکیده
This article reviews our experience with the use of intrauterine tamponade with balloon catheters in the management of severe postpartum hemorrhage. This is a case series report of 23 patients with postpartum hemorrhage unresponsive to medical therapy managed with intrauterine balloon tamponade. We identified these patients by International Classification of Diseases (ICD-9) codes and by reviewing labor and delivery logs. Balloon tamponade was attempted in 23 patients. When properly placed, catheters controlled postpartum hemorrhage in 18 of 20 cases (90%). In two cases, hysterectomy was required despite successful placement of the catheter. For hemorrhage due to uterine atony, our success rate was 100% (11/11 cases). In three cases, technical difficulties led to placement failure. For bleeding due to retained placenta, our success rate was 80% (4/5; failure with placenta percreta). Vaginal bleeding was stopped with the catheter in two of three cases of amniotic fluid embolus and in one case after dilation and curettage for postpartum septic shock. Thus balloon tamponade is an effective adjunct in the treatment of severe postpartum hemorrhage, especially when due to uterine atony when medical therapy fails.
منابع مشابه
Balloon tamponade for postpartum haemorrhage: case series and literature review.
OBJECTIVES To audit the use of intrauterine balloon tamponade for the management of massive postpartum haemorrhage and compare outcomes with those documented in the literature. DESIGN Retrospective case series. SETTING Obstetric Unit of a regional hospital in Hong Kong. PATIENTS All cases with severe postpartum haemorrhage from January 2011 to June 2012 in which Bakri intrauterine balloon...
متن کاملIntrauterine balloon tamponade in the management of severe postpartum hemorrhage: A case series from a busy UK district general hospital
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While uterine balloon tamponade is an effective modality for control of postpartum hemorrhage, the reported success rates have ranged from the level of 60% to the level of 80%. In unsuccessful cases, more invasive interventions are needed, including hysterectomy as a last resort. We developed a modified tamponade method and applied it to two cases of refractory postpartum hemorrhage after vagin...
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Postpartum haemorrhage is the most common type of obstetric haemorrhage and accounts for the majority of the 14 million cases annually. Approximately 7% of the maternal deaths caused by obstetric hemorrhage are related to placenta previa. This condition complicates approximately 4 in 1,000 pregnancies that are over 20 weeks of gestation. Over the last two decades, use of balloon tamponade has b...
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PURPOSE The aims of this study were to analyze the predictive factors for the use of intrauterine balloon insertion and to evaluate the efficacy and factors affecting failure of uterine tamponade with a Bakri balloon during cesarean section for abnormal placentation. METHODS We reviewed the medical records of 137 patients who underwent elective cesarean section for placenta previa between Jul...
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ورودعنوان ژورنال:
- American journal of perinatology
دوره 24 6 شماره
صفحات -
تاریخ انتشار 2007