Comparison between two management protocols for postpartum hemorrhage during cesarean section in placenta previa: Balloon protocol versus non‐balloon protocol

Maher, Mohamed; Abdelaziz, Ahmed

doi:10.1111/jog.13227

Cited by 39 publications

(34 citation statements)

References 41 publications

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“…In a series evaluating the use of IUBT in the management of placenta previa, the presence of accreta was associated with a failure rate of 83.3% (5/6); the odds ratio for success in the presence of accreta was as low as 0.001. 24 Our data concurred with such observations. Owing to the high failure rates…”

Section: Discussionsupporting

confidence: 92%

Prognostic factors for the use of intrauterine balloon tamponade in the management of severe postpartum hemorrhage

Kong

2018

Intl J Gynecology & Obste

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Section: Discussionsupporting

confidence: 92%

Prognostic factors for the use of intrauterine balloon tamponade in the management of severe postpartum hemorrhage

Kong

2018

Intl J Gynecology & Obste

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“…The reasoning was that intrauterine balloon tamponade was an effective management of postoperative hemorrhage associated with placenta previa. In fact, some reports demonstrated that intrauterine balloon tamponade was effective in decreasing both intraoperative and postoperative hemorrhage [19,23,24]. In our institution, since March 2015, rapid insertion of intrauterine balloon tamponade has been performed to reduce hemorrhage after spontaneous separation of the placenta and has succeeded in reducing postoperative hemorrhage [25].…”

Section: Discussionmentioning

confidence: 94%

“…Without rapid and appropriate treatment, massive postoperative hemorrhage might induce adverse obstetrical outcomes including maternal death [22]. As a strategy for massive postoperative hemorrhage associated with placenta previa, previous studies demonstrated that intrauterine balloon tamponade was a useful technique to reduce the hemorrhage [23][24][25]. In these reports, the balloon was inserted after the massive postoperative hemorrhage had occurred [23,24].…”

Section: Introductionmentioning

confidence: 99%

“…As a strategy for massive postoperative hemorrhage associated with placenta previa, previous studies demonstrated that intrauterine balloon tamponade was a useful technique to reduce the hemorrhage [23][24][25]. In these reports, the balloon was inserted after the massive postoperative hemorrhage had occurred [23,24]. Once a massive postoperative hemorrhage develops, the mother requires several treatments including blood transfusion [21].…”

Section: Introductionmentioning

confidence: 99%

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Risk factor for postoperative hemorrhage after cesarean section for placenta previa : A retrospective study

Ishibashi

Miyamoto

Soyama

et al. 2019

Preprint

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Background Placenta previa can cause postoperative hemorrhage. Even cases with less intraoperative hemorrhages during cesarean section have the potential risk of developing postoperative hemorrhage. However, there are few reports on the predictive factors of postoperative hemorrhage associated with placenta previa. The aim of this study was to identify the predictive factor for postoperative hemorrhage after cesarean section in women with placenta previa. Methods We identified women with placenta previa who underwent cesarean section at our institution between January 2003 and February 2015. All women who received any hemostatic procedure, such as intrauterine balloon tamponade and gauze infiltration during cesarean section were excluded. All women were classified into two groups: Group A, women with massive postoperative hemorrhage, defined as over 500 ml of hemorrhage after cesarean section, and Group B, women without postoperative hemorrhage. A retrospective analysis to identify the predictive factors for postoperative hemorrhage was conducted. Results Out of 128 women, 10 (7.8%) were included in Group A and 118 (92.2%) in Group B. There was no statistically significant difference in maternal history between the groups. The number of women suspected to have placental adhesion was higher in Group A than in Group B (p=0.006). Furthermore, the amount of intraoperative hemorrhage in Group A was higher than that in Group B (p=0.025). As treatment for postoperative hemorrhage, more women in Group A received allogenic blood transfusion (p=0.003) and uterine artery embolization (p = 0.010). In univariate analysis, placental adhesion suspected by the surgeon during cesarean section was the predictive factor for postoperative hemorrhage with placenta previa (p=0.002). Conclusions When placental adhesion is suspected by surgeons during a cesarean section, additional hemostatic procedures should be performed to prevent possible postoperative hemorrhage.

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“…Without rapid and appropriate treatment, massive PPH might induce adverse obstetrical outcomes including maternal death [22]. As a strategy for massive PPH associated with placenta previa, previous studies demonstrated that intrauterine balloon tamponade was useful to decrease massive PPH [23][24][25]. In these reports, the timing of insertion of balloon was after massive PPH [23,24].…”

mentioning

confidence: 99%

The risk factor of postpartum hemorrhage after cesarean section for placenta previa: A retrospective study

Ishibashi

Miyamoto

Soyama

et al. 2019

Preprint

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Background Placenta previa could induce postpartum hemorrhage (PPH). Even cases with less intraoperative hemorrhage during cesarean section had the potential risk to develop PPH. But, there were less report about the predictive factor of PPH associated with placenta previa. The aim of this study was to identify the predictive factor for PPH for women with placenta previa after cesarean section. Methods Women with placenta previa who underwent cesarean section at our institution between January 2003 and February 2015 were identified. Women that received any hemostatic procedure such as intrauterine balloon tamponade and gauze infiltration during cesarean section were excluded. All women were classified into two groups: Group A or with PPH, defined as over 500 ml of hemorrhage after cesarean section, and Group B or without PPH. A retrospective analysis to identify the predictive factor of PPH was conducted. Results Out of 128 women, 10 (7.8%) women were included in Group A and 118 (92.2%) women in Group B. There was no statistical significance in maternal history between both groups. The number of women suspected to have placental adhesion was higher in Group A than Group B (p=0.006). Furthermore, the amount of intraoperative hemorrhage in Group A was higher than that in Group B (p=0.025). As treatment for PPH, more women in Group A received allogenic blood transfusion (p=0.003), and uterine artery embolization (p = 0.010). In univariate analysis, placental adhesion suspected by surgeon during cesarean section was the predictive factor for PPH with placenta previa (p=0.046). Conclusion When placental adhesion is suspected by surgeons during cesarean section, additional hemostatic procedure should be performed for possible PPH.

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Comparison between two management protocols for postpartum hemorrhage during cesarean section in placenta previa: Balloon protocol versus non‐balloon protocol

Abstract: Application of the Bakri balloon for the management of PPH after CS in cases of PP is an effective strategy that should be affordable worldwide.

Cited by 39 publications

References 41 publications

Prognostic factors for the use of intrauterine balloon tamponade in the management of severe postpartum hemorrhage

Prognostic factors for the use of intrauterine balloon tamponade in the management of severe postpartum hemorrhage

Risk factor for postoperative hemorrhage after cesarean section for placenta previa : A retrospective study

The risk factor of postpartum hemorrhage after cesarean section for placenta previa: A retrospective study

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