Intrauterine Bakri Balloon and Vaginal Tamponade Combined with Abdominal Compression for the Management of Postpartum Hemorrhage
| Autor: | Yuna Guo, Yanqin Cai, Weiwei Cheng, Xianjing Xie, Renyi Hua, Suren R. Sooranna, Shoufang Bian, Jue Ma |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
China medicine.medical_specialty medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Pregnancy Pressure medicine Humans 030212 general & internal medicine Uterine Balloon Tamponade Bakri balloon 030219 obstetrics & reproductive medicine Hysterectomy Hemostatic Techniques business.industry Arterial Embolization Postpartum Hemorrhage Obstetrics and Gynecology Postoperative complication Retrospective cohort study medicine.disease Surgery Placenta previa Uterine atony Female Tamponade business |
| Zdroj: | Journal of Obstetrics and Gynaecology Canada. 40:561-565 |
| ISSN: | 1701-2163 |
| DOI: | 10.1016/j.jogc.2017.08.035 |
| Popis: | Objective This study sought to investigate the effect of Bakri balloon use and vaginal tamponade combined with abdominal compression for the management of postpartum hemorrhage (PPH). Methods This retrospective study reviewed cases of PPH in the International Peace Maternal and Child Health Hospital of China Welfare Institution in Shanghai, China from January 1, 2010 to December 31, 2015. A single use of the intrauterine Bakri balloon was applied in some cases, and additional vaginal tamponade combined with abdominal compression (double compression) was applied in other cases. The authors evaluated the effect of these two methods in the management of PPH. Results The Bakri balloon was used in 305 cases of intrauterine PPH, and the clinical efficacy was 93.26%. One group of study patients underwent double compression, and these patients had a better clinical efficacy rate of 96.3% (157 of 163), whereas the efficacy in cases using the Bakri balloon alone (control group) was 87.3% (124 of 142). The postoperative complication rates of these two groups were 9.4% and 8.7%, respectively. Uterine arterial embolization was performed in patients in whom Bakri balloon use failed. None of the cases resulted in a hysterectomy. Conclusion Intrauterine Bakri balloon use combined with vaginal tamponade and abdominal compression is more effective in the treatment of PPH compared with Bakri balloon use alone. This method does not increase postoperative complications. Uterine atony with placenta previa or implantation may be possible reasons for noneffectiveness of Bakri balloon use. |
| Databáze: | OpenAIRE |
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