AI Article Synopsis
Article Abstract
Objective: To evaluate the Bakri tamponade balloon as an adjunct treatment for refractory postpartum hemorrhage (PPH).
Methods: A prospective observational intervention study was conducted between January 1, 2013, and May 31, 2015, at Great Lakes Hospital and Moi Teaching and Referral Hospital in Kenya. Eligible participants were diagnosed with PPH (blood loss >500mL after vaginal or >1000mL after cesarean delivery, and/or hemodynamic changes suggestive of excessive blood loss) unresponsive to standard intervention and were treated using the Bakri balloon. Case report forms were completed for all participants. The primary endpoint was the frequency of surgery after use of the Bakri balloon.
Results: Among 58 patients, postpartum bleeding was controlled without further surgical intervention in 55 (95%). Among the 55 women with uterine atony, the Bakri balloon successful controlled PPH in 52 (95%). Two of the three hysterectomies performed were for continued bleeding after placement of the Bakri tamponade balloon. Four maternal deaths occurred.
Conclusion: The Bakri tamponade balloon proved an effective adjunct in the management of refractory PPH.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.ijgo.2016.06.021 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Safety and efficacy of the initial application of vacuum-induced intrauterine tamponade for the management of postpartum hemorrhage.
Taiwan J Obstet Gynecol
January 2025
Department of Fetal-Maternal Medicine, Obstetrics, Gifu Prefectural General Medical Center, 4-6-1 No-isshiki, Gifu City 500-8717, Gifu, Japan.
Objective: This study aimed to evaluate the safety and efficacy of vacuum-induced intrauterine balloon tamponade (vIBT) using the modified Bakri system in a clinical setting.
Materials And Methods: This single-center observational study included women who had undergone vIBT for primary postpartum hemorrhage (PPH). Vacuum induction at 60 kPa in the uterus was continued for 1 h with 50-100 ml saline, and the balloon was promptly removed after the protocol was completed.
Intrauterine balloon tamponing combined with mid-section loop ligation for postpartum hemorrhage: a retrospective analysis.
Arch Gynecol Obstet
December 2024
Department of Obstetrics, Sichuan Jinxin Xinan Women and Children Hospital, Chengdu, Sichuan, China.
Introduction: Considering the effective treatment of postpartum hemorrhage, intrauterine balloon tamponed can apply pressure from the inside of the uterus, and uterine compression suture can apply pressure from the outside of the uterus. Although combining the two methods can enhance the effectiveness of hemostasis, there is a paucity of studies reporting on outcome. The aim of this study was to report a surgical protocol for postpartum hemorrhage by intrauterine balloon tamponing combined with mid-section loop ligation and its subsequent effects on the uterus.
View Article and Find Full Text PDFFive-year retrospective analysis of Bakri balloon tamponade for obstetric haemorrhage and patient survey at a single tertiary centre.
J Obstet Gynaecol
December 2024
Department of Obstetrics and Gynaecology, Fiona Stanley Hospital, Perth, Western Australia, Australia.
Background: Intrauterine balloon tamponade (IUBT), specifically the usage of Bakri balloon tamponade (BBT), is an effective conservative management technique for postpartum haemorrhage (PPH). The primary objective was to evaluate local guidelines and contribute to evidence regarding ideal duration for BBT. The secondary objectives were to consider impacts on maternal-foetal wellbeing, and optimise healthcare efficiency by reducing length of ICU admissions.
View Article and Find Full Text PDFPostpartum Hemorrhage Management with Bakri Balloon: Investigating Retained Placenta Risk.
Am J Case Rep
October 2024
Department of Obstetrics and Gynecology, Kobe City Medical Center West Hospital, Kobe, Hyogo, Japan.
BACKGROUND Retained products of conception (RPOC) is a rare complication following second-trimester delivery or pregnancy termination, often leading to significant hemorrhage. Diagnosed via ultrasound or CT, RPOC requires surgical intervention based on endometrial thickness. Risk factors include second-trimester abortion and use of placental forceps.
View Article and Find Full Text PDFPrevention of intrauterine balloon displacement in patients with postpartum hemorrhage: A narrative review.
Int J Gynaecol Obstet
October 2024
Unit of Obstetrics, Department of Woman, Child and Neonate, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Article Synopsis
- Postpartum hemorrhage (PPH) is a serious global pregnancy complication primarily caused by uterine atony, where second-line treatments like uterine balloon tamponade are essential for managing severe cases.
- Balloon displacement poses a challenge in effectively treating PPH, leading to potential treatment failures; several techniques have been proposed to mitigate this issue, including vaginal packing and cervical sutures.
- This review highlights various strategies for managing PPH, discussing their benefits and limitations to help healthcare providers make informed decisions tailored to specific clinical situations.
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!