Aim: Massive post-partum hemorrhage (PPH) is an important cause of maternal death that occurs as a complication of delivery. We report a large case series to evaluate the efficacy of uterine balloon tamponade to treat PPH avoiding hysterectomy.
Material And Methods: This prospective study was conducted in two Italian hospitals (from December 2002 to July 2012). Fifty-two patients with PPH not responsive to uterotonics were treated by Rusch balloon. A follow-up was conducted among the study population to assess the subsequent fertility.
Results: The most frequent cause of PPH was atony (59.6%), followed by placenta previa (21.2%), placenta accreta (9.6%), and placenta previa and accreta (9.6%). The balloon success rate to control hemorrhage was 75%. From the sample of 52 patients, 13 patients needed additional procedures. In three failure cases, other conservative techniques were used and the overall effectiveness of them was 80.7%. The follow-up group consisted of 31 women. Of these women, 24 women (77.4%) had no further pregnancies, but only one due to sterility. Four of seven patients with subsequent pregnancies made it to term without complications.
Conclusions: The Rusch balloon is effective in controlling non-traumatic PPH in 75% of cases. It is simple to use, readily available and cheap. If necessary, this technique does not exclude other procedures. We suggest that this balloon should be included routinely in the PPH protocol.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/jog.12404 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Acute management of massive pulmonary embolism in pregnancy.
Front Glob Womens Health
January 2025
Department of Obstetrics and Gynecology, Sandwell and West Birmingham NHS Trust, Birmingham, United Kingdom.
Key Content: •Massive pulmonary embolism (PE) during pregnancy or the postpartum period is a rare but potentially lethal event.•Physiological changes in the coagulation system during pregnancy and puerperium would lead to a hypercoagulable state.•Diagnosis of PE in pregnancy remains a challenge due to physiological changes in pregnancy.
View Article and Find Full Text PDFSerum macromineral dynamics and milk production of old Holstein cows submitted to a postpartum delayed milking strategy.
Vet J
January 2025
Department of Eco-friendly Livestock Science, Institute of Green Bio Science and Technology, Seoul National University, Pyeongchang 25354, South Korea.
Lactation initiates with a massive Ca secretion into milk. Within 24-48 h post-calving, high-producing, older-parity dairy cows are highly susceptible to Ca disturbances. We hypothesized that the abrupt cessation of milking within this critical period would delay Ca secretion into milk, allowing lactating cows more time to stabilize their Ca homeostasis mechanisms and potentially lower the risk of blood Ca decline in the immediate postpartum period.
View Article and Find Full Text PDFEffectiveness of the Triple P Procedure and its modifications on reducing the blood loss and peripartum hysterectomy rates in women with Placenta Accreta Spectrum (PAS): a review of published literature.
J Matern Fetal Neonatal Med
December 2025
Director of Global Academy of Medical Education & Training, London, UK.
Background: Placenta Accreta Spectrum (PAS) disorders has been reported to be associated with a maternal mortality rate of 7-10%, worldwide, and many women who survive, experience life changing morbidity. Triple P procedure (- perioperative placental localization and incision on the myometrium above the upper border of the placenta; - pelvic devascularisation; and -placental non-separation and myometrial excision) was developed in 2010 as a novel conservative alternative to peripartum hysterectomy to avoid severe maternal morbidity and mortality). There have been several modifications to the original Triple P Procedure to achieve "pelvic devascularisation" based on locally available resources.
View Article and Find Full Text PDF[High-risk obstetric surgery: Can we do without Cell-saver in France in 2024?].
Gynecol Obstet Fertil Senol
December 2024
Maternité Port-Royal, hôpital Cochin, université Paris-Cité, AP-HP, Paris, France. Electronic address:
Article Synopsis
- Certain obstetric situations, like issues with placental invasion, can lead to significant bleeding, often requiring extensive blood transfusions.
- To address the complications from massive transfusions and reduce the need for blood products, blood salvage techniques, particularly the Cell-saver, are being implemented in obstetric settings.
- This article aims to update readers on the Cell-saver's usage, examining its indications, technical aspects, and weighing its benefits against potential risks during high hemorrhage risk procedures.
Article Synopsis
- - Postpartum venous thromboembolism (VTE) is a serious complication that can occur after childbirth, driven by factors like increased blood clotting, reduced mobility, and injury to blood vessels, leading to high risks for new mothers.
- - A case study details a 37-year-old woman with a history of recurrent clots and pregnancy issues that ultimately resulted in severe chronic venous obstruction despite various treatments, necessitating advanced procedures like stent implantation.
- - The patient's medical journey involved multiple challenges, including spontaneous abortions, a pulmonary embolism linked to contraceptive use, and serious complications during and after her last pregnancy, highlighting the importance of careful monitoring and effective prevention strategies for postpartum VTE.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!