Intrauterine Bakri Balloon and Vaginal Tamponade Combined with Abdominal Compression for the Management of Postpartum Hemorrhage

Guo, Yuna; Hua, Rong; Bian, Shoufang; Xie, Xianjing; Ma, Jue; Cai, Yanqin; Sooranna, Suren R.; Cheng, Weiwei

doi:10.1016/j.jogc.2017.08.035

Cited by 14 publications

(9 citation statements)

References 18 publications

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“…Pre and post-procedure laboratory test results showed that the level of median hemoglobin (p<0.00), hematocrit (p<0.00), platelets (p<0.001), and lymphocytes (p<0.001) were all significantly higher in the patients before IUBT whereas PT (p=0.29), PT (p<0.00), aPTT (<0.00), international normalization ratio (INR) (p<0.00), white blood cell (<0.00), and Neutrophil values (<0.00) were lower in patients before the procedure (Table . 3). 17 Local studies have also proved it to be an effective method of controlling PPH. 18 A study by Rathore AM et al reported that a condom catheter balloon was successful in 94% of cases of PPH.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Foleys Intrauterine Balloon Tamponade in Management of Postpartum Haemorrhage and Factors Associated With its Failure; A Tertiary Care Experience

Abrar

Sayyed

et al. 2023

J Gandhara Med Dent Sci

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OBJECTIVES To evaluate the effectiveness and factors associated with the failure of intrauterine balloon tamponade (IUBT) in managing postpartum hemorrhage (PPH). METHODOLOGY We conducted a retrospective observational study including data from 160 patients aged 21-30 years at the Department of Obstetrics and Gynaecology, Lady Reading Hospital, Peshawar, managed for PPH with IUBT, after failed medical treatment from Jan 2020 to December 2021. Data were collected retrospectively in three months, from January to March 2022. IUBT was successful if, after 24 hours of insertion, no or less than 100ml bleeding occurred.RESULTS Among the patients managed by IUBT, the majority had uterine atony (81.25%), 17.5% had lower segment hemorrhage, and 1.25% of cases had a placental abruption. The mean estimated blood loss was 1263.7±398.7 ml. The procedure was successful in 89.3% of cases. Sixteen patients underwent a hysterectomy for failed IUBT. There were six maternal deaths, mainly due to acute renal failure and disseminated intravascular coagulation (DIC). Between the successful and unsuccessful cases of IUBT, there was a statistically significant difference in the gravidity, mode of delivery, gestations, booking, peripartum BP, pulse rate, hemoglobin, platelet count, prothrombin time (PT), activated partial thromboplastin time (aPTT), blood loss during the procedure, DIC, and intensive care unit admissions (p<0.00). The median hemoglobin, hematocrit, platelets count, and lymphocytes were significantly higher before IUBT insertion (p<0.00).CONCLUSION IUBT is an effective, easy-to-use, inexpensive, and safe tool in the management of PPH. Low hemoglobin, thrombocytopenia, high PT, aPTT, and DIC are associated with low success rates

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Section: Resultsmentioning

confidence: 99%

Effectiveness of Foleys Intrauterine Balloon Tamponade in Management of Postpartum Haemorrhage and Factors Associated With its Failure; A Tertiary Care Experience

Abrar

Sayyed

et al. 2023

J Gandhara Med Dent Sci

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“…In a retrospective study by Guo Y et al [ 23 ], 305 cases with PPH from the International Peace Maternal and Child Health Hospital of China Welfare Institution in Shanghai, China were recruited. BBT showed an overall success rate of 93.26%, and the BBT alone was 87.3% (124/142).…”

Section: Discussionmentioning

confidence: 99%

Bakri Balloon for Treatment of Postpartum Hemorrhage: A Real-World 2016-2020 Study in 279 Women from a Single Center

et al. 2023

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Background:Postpartum hemorrhage (PPH) may be primary or secondary and is defined as the loss of 500 ml or more of blood within the first 24 h after birth. The Bakri balloon tamponade (BBT) is an intrauterine device used as an adjunctive treatment for refractory PPH. The aim of this study was to present the real-world experience from a single center on the effectiveness of the BBT for the treatment of PPH. Material/Methods:This cohort study of 279 women was conducted in a real-world setting. Patients' characteristics and clinical outcomes between the BBT Success group and BBT Failure group were analyzed by t test or chi-square test. The primary outcome was the success rate of BBT. The secondary outcomes were the perinatal outcomes. Results:The success rate of BBT was 88.89% (248/279). A blood transfusion rate of 65.95% (184/279) was observed. After using the BBT, significant differences were observed in intervention (P<0.001), blood loss (P<0.001), indwelling time of BBT (P<0.001), and blood transfusion (P<0.001) between the Success group and Failure group. The Success group showed greater range of descent in blood loss (991.56.15±13.65 mL in Success group vs 816.23±7.57 mL in Failure group). Of the 31 women with BBT failure, 87.10% (27/31) received uterine artery embolization (UAE), 96.77% (30/31) received blood transfusion, and none required a hysterectomy. Conclusions:The findings from this study from a single center in China supported those from previous studies showing that the BBT was an effective treatment to control PPH.

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“…The double compression method can be used after the Bakri balloon fails to treat PPP. A study conducted by Guo et al (2018) on 305 cases of PPH found that the success rate of using uterine tamponade was 87.3% (124 of 142 patients) compared to the group using the double compression method, namely 96.3% (157 of 163 patients). Double compression can help stop active bleeding from the detachment surface of the placenta in uterine atony.…”

Section: C) Relationship Between Uterine Atonia and The Use Of Uterin...mentioning

confidence: 99%

The effectiveness of using uterine tampons in treating uterine atony

Selvilla,

Siregar,

Jap

et al. 2023

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Postpartum hemorrhage is excessive bleeding that occurs after delivery due to blood loss of 500 mL in a standard delivery or 1,000 mL in a cesarean delivery. Postpartum hemorrhage is divided into primary and secondary and classified based on the 4 Ts: tone, trauma, tissue, and thrombin. Uterine atony is the most common cause. The use of uterine tamponade is an option to treat postpartum hemorrhage (PPP) because it is relatively non-invasive, with a success rate of more than 80%. Using uterine tamponade is easy and quite simple but requires hands-on training to increase confidence in installing uterine tamponade. The literature sources used are Google Scholar, Pubmed, Science Direct, Hindawi, Medline, and Cochrane. After obtaining appropriate literature, the literature is compiled. Uterine tamponade is a second-line treatment for uterine atony that does not respond to uterotonics. Based on the literature search that has been carried out, uterine tamponade is an effective therapy for PPH, is easy to use, and has a low risk of harm with a success rate of 80-87.3%. The use of uterine tamponade can also significantly reduce the need for invasive procedures. Uterine atony is the most common cause of PPH, which results in morbidity and mortality. Uterine tamponade has been proven to be effective, safe, practical, and cheap to treat PPH in daily practice. Further research may be needed in Indonesia to determine the effectiveness of uterine tamponade in treating uterine atony.

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Intrauterine Bakri Balloon and Vaginal Tamponade Combined with Abdominal Compression for the Management of Postpartum Hemorrhage

Cited by 14 publications

References 18 publications

Effectiveness of Foleys Intrauterine Balloon Tamponade in Management of Postpartum Haemorrhage and Factors Associated With its Failure; A Tertiary Care Experience

Effectiveness of Foleys Intrauterine Balloon Tamponade in Management of Postpartum Haemorrhage and Factors Associated With its Failure; A Tertiary Care Experience

Bakri Balloon for Treatment of Postpartum Hemorrhage: A Real-World 2016-2020 Study in 279 Women from a Single Center

The effectiveness of using uterine tampons in treating uterine atony

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