Analysis of prophylactic Bakri balloon tamponade failure in patients with placenta previa

Autor: Hiroaki Soyama, Morikazu Miyamoto, Hiroki Ishibashi, Masaya Nakatsuka, Haruka Kawauchi, Takahiro Sakamoto, Hiroko Matuura, Mika Kuwahara, Kazuki Takasaki, Hideki Iwahashi, Kento Kato, Masashi Yoshida, Masashi Takano, Hidenori Sasa, Kenichi Furuya
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Taiwanese Journal of Obstetrics & Gynecology, Vol 58, Iss 1, Pp 159-163 (2019)
Druh dokumentu: article
ISSN: 1028-4559
DOI: 10.1016/j.tjog.2018.11.029
Popis: Objective: Recently, Bakri balloon (BBT) was effective for women with placenta previa to reduce hemorrhage. However, about 10% of women needed to receive an invasive strategy. Thus, the identification of risk factors and the development of additional measurements for BBT failure was needed. The aim of our study is to investigate the cause and measurements of failing prophylactic BBT in women with placenta previa. Materials and methods: Women with placenta previa who underwent cesarean section and had a prophylactic BBT inserted during the operation at our institution between January 2015 and December 2017 were enrolled. Patients requiring additional procedures after cesarean section for massive hemorrhage were defined as BBT failures. Additionally, the patterns and risk factors of BBT failure were retrospectively evaluated. Results: Seventy women met the inclusion criteria. Of them, 9 (13%) were in the balloon failure group and 61 (87%), in the balloon success group. Between two groups, the median of postoperative blood loss was 1153 g vs. 70 g (p
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