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Use of Bakri balloon tamponade in the treatment of postpartum hemorrhage: a series of 50 cases from a tertiary teaching hospital

GRÖNVALL, MAIJU ; TIKKANEN, MINNA ; TALLBERG, ERIKA ; PAAVONEN, JORMA ; STEFANOVIC, VEDRAN

Acta obstetricia et gynecologica Scandinavica, 2013-04, Vol.92 (4), p.433-438 [Periódico revisado por pares]

Oxford, UK: Blackwell Publishing Ltd

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Título:
Use of Bakri balloon tamponade in the treatment of postpartum hemorrhage: a series of 50 cases from a tertiary teaching hospital
Autor: GRÖNVALL, MAIJU ; TIKKANEN, MINNA ; TALLBERG, ERIKA ; PAAVONEN, JORMA ; STEFANOVIC, VEDRAN
Assuntos: Adult ; Bakri balloon tamponade ; Blood Loss, Surgical - prevention & control ; conservative treatment ; Female ; Finland ; Hospitals, Teaching - statistics & numerical data ; Humans ; Hysterectomy - statistics & numerical data ; postpartum hemorrhage ; Postpartum Hemorrhage - therapy ; Pregnancy ; Pregnancy Outcome - epidemiology ; Suture Techniques ; Tertiary Care Centers - statistics & numerical data ; Treatment Outcome ; Uterine Balloon Tamponade - methods ; Uterus - blood supply ; Women's Health ; Young Adult
É parte de: Acta obstetricia et gynecologica Scandinavica, 2013-04, Vol.92 (4), p.433-438
Notas: istex:EC84A3CF5ECA518DAD740F2F8507E3A204FF1410
ArticleID:AOGS1531
ark:/67375/WNG-6PT6LD84-F
The authors have stated explicitly that there are no conflicts of interest in connection with this article.
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Descrição: Objective. Massive postpartum hemorrhage (PPH) is one of the most serious complications during delivery. Hysterectomy is commonly performed when other conventional treatment attempts fail. Bakri balloon tamponade (BBT) is a novel conservative management option for PPH. Little is known of the effectiveness of this procedure. We report a large case series from a tertiary teaching hospital. Design. Retrospective case series (October 2008–June 2011). Setting. University teaching hospital. Population. Forty‐four women with massive PPH (blood loss >1000 mL) and six other women with expected high risk of PPH (blood loss <1000 mL) managed by BBT. Methods. Chart review. Main outcome measures. Achievement of definitive hemostasis by BBT among the study population. Results. Among the women treated with BBT, the cause of PPH was uterine atony (16%), cervical rupture (14%), vaginal rupture and/or paravaginal hematoma (22%), placenta previa (18%) and placental retention (30%). The overall success rate was 86%. Seven of the 50 patients needed additional procedures. Of the seven failures, supravaginal uterine amputation or hysterectomy was required in four cases and embolization of the uterine arteries in three cases. Conclusions. BBT is a simple, readily available, effective and safe procedure for the management of PPH in selective cases. BBT does not exclude the use of other procedures if necessary. Even if BBT failed, it may provide temporary tamponade and time to prepare for other interventions or transportation from local hospital to tertiary centre. We suggest that BBT should be included in the PPH protocol.
Editor: Oxford, UK: Blackwell Publishing Ltd
Idioma: Inglês;Francês;Alemão

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Use of Bakri balloon tamponade in the treatment of postpartum hemorrhage: a series of 50 cases from a tertiary teaching hospital

GRÖNVALL, MAIJU ; TIKKANEN, MINNA ; TALLBERG, ERIKA ; PAAVONEN, JORMA ; STEFANOVIC, VEDRAN

Oxford, UK: Blackwell Publishing Ltd

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