Complete Uterine Inversion Managed With a Rusch Balloon Catheter

Uzoma, Azubuike

doi:10.4021/jmc2010.06.103e

Cited by 5 publications

(6 citation statements)

References 10 publications

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“…It has also been shown to be successful in managing cases of postpartum haemorrhage due to coagulation failure, acute uterine inversion and placenta praevia (Lau and Tee 2009;Uzoma and Ola 2010;Soleymani Majd et al 2009). Th e theoretical principle of the balloon tamponade is that temporary and steady mechanical compression of the bleeding surface of the placental site helps to arrest the bleeding while waiting for the natural haemostatic mechanisms of the blood to take eff ect.…”

Section: Pph/operative Interventions 19mentioning

confidence: 97%

Operative interventions in the management of major postpartum haemorrhage

Keriakos

Chaudhuri

2011

Journal of Obstetrics and Gynaecology

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In many recent studies in the developed world, the incidence of postpartum haemorrhage (PPH) has been rising, though the mortality has come down, suggesting improvement in the management of this condition. Since the publication of the RCOG guidelines in 2009 for management of PPH and the Sheffi eld guidelines for the use of Rusch balloon along with the initial small case series (Keriakos and Mukhopadhyay 2006), many units have introduced the guidelines into clinical practice. This has led to the reduction of surgical intervention in our unit. Major PPH accounted for 1.6% of the total deliveries in our hospital. Surgical interventions accounted for 7.8% of these cases and only 0.1% of the total deliveries. Risk factors for PPH were identifi ed in 83%. In this paper, we reviewed the management of all patients who had major PPH and failed medical management over a period of about 4 years. All surgical interventions including Rusch balloon, B-Lynch suture, radiological interventions and hysterectomy were described. An update to Rusch balloon guidelines and Sheffi eld guidelines for management of major PPH are appended.

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Section: Pph/operative Interventions 19mentioning

confidence: 97%

Operative interventions in the management of major postpartum haemorrhage

Keriakos

Chaudhuri

2011

Journal of Obstetrics and Gynaecology

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“…Within the same year, two other groups reported successful management of uterine inversion with the Rusch balloon as well, citing the low cost, large capacity and ease of use as advantages 5 6. The infused volume in the latter reports ranged between approximately 300 and 720 mL, antibiotic prophylaxis was employed in two of the three described cases, and the balloon was removed after 24 h in each case without any adverse sequelae.…”

Section: Discussionmentioning

confidence: 96%

Intrauterine tamponade balloon use in the treatment of uterine inversion

Haeri

Rais

Monks³

2015

BMJ Case Reports

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Uterine inversion is a rare but life-threatening obstetrical emergency that occurs when the fundus of the uterus prolapses through the cervix, hence turning the uterus inside out. In this case report, we present our experience using an intrauterine tamponade balloon for management of uterine inversion, and a review of the literature. The utility of an intrauterine tamponade balloon in cases of uterine inversion, especially when maternal medical conditions preclude the use of uterotonics, or reinversion is observed should be kept in mind.

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“…12 Use of an intrauterine Rusch balloon catheter (Modified hydrostatic method) has also been reported. 13 Although they were managed by a well-coordinated team approach with obstetrician and anesthetist yet there were some who could not be revived with best resuscitative measures by the time they reached here.…”

Section: Discussionmentioning

confidence: 99%

Uterine inversion: a shocking aftermath of mismanaged third stage of labour

Dwivedi

Gupta

Mishra

et al. 2013

Int J Reprod Contracept Obstet Gynecol

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Background: To study the incidence, causes, clinical presentations, management and maternal morbidity and mortality associated with acute puerperal inversion of uterus. Methods: This retrospective study was conducted in Department of Obstetrics and Gynecology, G.S.V.M. Medical College, Kanpur, from March 2008 to March 2013. All the women who developed acute puerperal inversion of uterus either in or outside our hospital were included in the study. Results: Majority of women presenting with inversion belonged to age group 20-35 years, were multigravida (68.2%), came from rural set-up (81.4%) and were unbooked (81.8%). Majority of deliveries complicated by inversion took place at home (50%), delivered by dais (46%). Mismanaged 3rd stage of labour proved to be an important factor (36.4%) leading to inversion uterus followed by atonicity of uterus. 90% of women suffered due to delay in management at PHC and CHC, 68%women succumbed to delay in diagnosis at the place of delivery by untrained staff, whereas 45% women suffered due to delay in transport facility. 13.63% women suffered from sepsis in post-operative period, 22.72% from renal failure whereas 18.18% died. Conclusion: Proper education and training regarding active management of third stage of labour, diagnosis and management of uterine inversion should be imparted to traditional birth attendants, so that this potentially life-threatening obstetric emergency could be averted. [Int J Reprod Contracept Obstet Gynecol 2013; 2(3.000): 292-295

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Complete Uterine Inversion Managed With a Rusch Balloon Catheter

Cited by 5 publications

References 10 publications

Operative interventions in the management of major postpartum haemorrhage

Operative interventions in the management of major postpartum haemorrhage

Intrauterine tamponade balloon use in the treatment of uterine inversion

Uterine inversion: a shocking aftermath of mismanaged third stage of labour

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