"The aim of the present study was to evaluate the effectivenes of Bakri balloon in preventing and treating postpartum haemorrhage(PPH). Intrauterine Bakri balloon was used in a total of 16 patients with two different purpose: prophylactic placement of the balloon after cesarean section (CS) in six patients with low-lying placenta and therapeutic placement in ten patients with persistent bleeding from uterine atony, after spontaneus delivery, and administration of uterotonics. Intrauterine Bakri balloon was a successful approach in controlling and preventing PPH in all of 16 patients. The median nadir hematocrit was 26.6% in six patients who underwent CS and 25.6% in ten patients with persistent bleeding after spontaneus delivery. The intrauterine balloon was in place for a duration of 24 hours. The median balloon infusion volume was 345 ml (range 250-455). No complications were reported. Bakri balloon tamponade was a useful measure in treating PPH unresponsive to pharmacological therapy in patients who delivered vaginally. Moreover, it was able to prevent persistent bleeding in patients who underwent CS for central placenta praevia. "

Intrauterine ballon tamponade as management of postpartum haemorrage and prevention of haemorrage related to low-lying placenta

PATACCHIOLA, FELICE;D'ALFONSO, ANGELA;CARTA, Gaspare
2012-01-01

Abstract

"The aim of the present study was to evaluate the effectivenes of Bakri balloon in preventing and treating postpartum haemorrhage(PPH). Intrauterine Bakri balloon was used in a total of 16 patients with two different purpose: prophylactic placement of the balloon after cesarean section (CS) in six patients with low-lying placenta and therapeutic placement in ten patients with persistent bleeding from uterine atony, after spontaneus delivery, and administration of uterotonics. Intrauterine Bakri balloon was a successful approach in controlling and preventing PPH in all of 16 patients. The median nadir hematocrit was 26.6% in six patients who underwent CS and 25.6% in ten patients with persistent bleeding after spontaneus delivery. The intrauterine balloon was in place for a duration of 24 hours. The median balloon infusion volume was 345 ml (range 250-455). No complications were reported. Bakri balloon tamponade was a useful measure in treating PPH unresponsive to pharmacological therapy in patients who delivered vaginally. Moreover, it was able to prevent persistent bleeding in patients who underwent CS for central placenta praevia. "
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11697/89549
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