Safety and efficacy of intrauterine balloon tamponade vs uterine gauze packing in managing postpartum hemorrhage: A systematic review and meta-analysis

Abul, Ahmad; Al-Naseem, Abdulrahman; Althuwaini, Abdulwahab; Almuhanna, Abdulredha; Clement, Naomi

doi:10.1016/j.xagr.2022.100135

Cited by 3 publications

(1 citation statement)

References 16 publications

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“…When a patient with placenta accreta experiences massive bleeding during a cesarean section and the bleeding cannot be effectively controlled with conservative measures, hysterectomy is considered the most effective treatment. 8,9 The incidence of PAS has been escalating annually, concomitant with the rising rates of cesarean sections. This trend markedly elevates the risk of postpartum hemorrhage, hysterectomy, and increases the likelihood of maternal mortality.…”

Section: Discussionmentioning

confidence: 99%

Application of Uterine Artery Embolization in Patients With Placenta Accreta Spectrum After Abdominal Aortic Balloon Occlusion

Zhang,

Cheng,

Zhi

et al. 2024

Vasc Endovascular Surg

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Objective To evaluate the application of different uterine artery embolization procedures under balloon occlusion of the abdominal aorta in patients with Placenta Accreta Spectrum (PAS) undergoing cesarean section. Materials and Methods A retrospective analysis was performed on clinical data from 72 patients who underwent uterine artery embolization for hemostasis during cesarean section with PAS. The patients were divided into two groups according to the embolization method used during surgery: group A (n = 43) underwent uterine artery embolization by withdrawing the balloon and inserting a Cobra catheter into the uterine artery for embolization, while group B (n = 29) underwent uterine artery embolization with a Cobra catheter inserted via contralateral puncture of the femoral artery and balloon occlusion. General information, surgical data, and postoperative recovery were compared between the 2 groups. Results The bleeding and transfusion volumes were lower in group B than in group A and the differences between the 2 groups were statistically significant. There were no significant differences in surgical duration, number of embolized vessels, length of hospital stay, postoperative complications, or menstrual recovery between the 2 groups. Conclusion For patients with PAS undergoing cesarean section, uterine artery embolization for hemostasis is preferably performed by inserting a Cobra catheter via contralateral puncture of the femoral artery under abdominal aortic balloon occlusion.

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Section: Discussionmentioning

confidence: 99%

Application of Uterine Artery Embolization in Patients With Placenta Accreta Spectrum After Abdominal Aortic Balloon Occlusion

Zhang,

Cheng,

Zhi

et al. 2024

Vasc Endovascular Surg

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Vacuum-induced tamponade for managing postpartum hemorrhage: a systematic review

Card,

Klinkowski,

Salzer

et al. 2024

The Journal of Maternal-Fetal & Neonatal Medicine

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Uterine Balloon Tamponade in Management of Postpartum Hemorrhage

Artymuk,

Apresyan

2024

Fundamentalʹnaâ i kliničeskaâ medicina

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Aim. To evaluate the efficacy and safety of uterine balloon tamponade for the management of postpartum haemorrhage.Materials and Methods. We have screened the Cochrane Library and PubMed for the following keywords: “intrauterine balloon tamponade”, “controlled balloon tamponade”, “controlled balloon tamponade” AND “postpartum bleeding/haemorrhage” during 5 years (2018-2023). In total, we have identified 358 publications including 3 meta-analyses, 6 systematic reviews, and 13 randomized controlled trials. After checking titles and abstracts to remove duplicates, we selected 38 sources which met the selection criteria.Results. Postpartum haemorrhage remains the leading cause of maternal mortality in both developing and developed countries. In most cases, postpartum haemorrhage occurs due to atony and is controlled by administration of uterotonics. However, if uncurbed, postpartum haemorrhage requires blood transfusion and surgery. Currently, uterine balloon tamponade is considered as one of the most efficient and safe technologies for controlling postpartum haemorrhage and preventing hysterectomy, yet a number of studies have reported negative results. Several investigations showed an advantage of double-balloon tamponade as it provides an additional benefit of vascular compression of the lower uterine segment. Generally, uterine balloon tamponade is an efficient intervention which allows to avoid additional surgeries (uterine artery embolization or hysterectomy) in 87.3 – 100.0% of cases with a relatively low complication rate (< 6.7% – 9.4%).Conclusion. The effectiveness of uterine balloon tamponade and the risk of complications are probably determined by the type of device, the learning curve effect, and the regularity and quality of training of medical personnel. Further in-depth multicenter studies in this direction are required.

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Safety and efficacy of intrauterine balloon tamponade vs uterine gauze packing in managing postpartum hemorrhage: A systematic review and meta-analysis

Cited by 3 publications

References 16 publications

Application of Uterine Artery Embolization in Patients With Placenta Accreta Spectrum After Abdominal Aortic Balloon Occlusion

Application of Uterine Artery Embolization in Patients With Placenta Accreta Spectrum After Abdominal Aortic Balloon Occlusion

Vacuum-induced tamponade for managing postpartum hemorrhage: a systematic review

Uterine Balloon Tamponade in Management of Postpartum Hemorrhage

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