Excessive duration of intrauterine balloon placement

Alouini, Souhail

doi:10.1016/j.ajog.2017.04.001

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…Another IUT technique not assessed by hysteroscopy was using devices built using a Foley catheter and a condom 24 . Alouini et al 25 also noted that if a balloon was left for more than 12 h, infection was at 10%. In 2015, the same author advised leaving the balloon for 7 h 22 whereas according to the Royal College of Obstetricians and Gynecologists, leaving the balloon for 4–6 h is sufficient to achieve hemostasis 15 .…”

Section: Discussionmentioning

confidence: 99%

Hysteroscopy after conservative surgical treatment of severe postpartum hemorrhage due to uterine atony: A systematic literature review

Zouaghi

Chaouch

Sanchez³

et al. 2023

Intl J Gynecology & Obste

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The World Health Organization defines postpartum hemorrhage (PPH) as blood loss of at least 500 mL within 24 h following labor.Severe postpartum hemorrhage (SPPH) is defined as blood loss of 1000 mL in the same period. PPH affects around 2% of women who give birth and is responsible for nearly one-quarter of maternal deaths worldwide. 1 According to the French National Confidential Enquiry into Maternal Deaths conducted between 2013 and 2015, obstetric hemorrhage accounted for 21% of maternal deaths

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Section: Discussionmentioning

confidence: 99%

Hysteroscopy after conservative surgical treatment of severe postpartum hemorrhage due to uterine atony: A systematic literature review

Zouaghi

Chaouch

Sanchez³

et al. 2023

Intl J Gynecology & Obste

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“…The present study showed a positive correlation between prolonged IUBT duration time and EBL ≥ 300 ml. Alouini (19) suggests that the additional IUBT placement time may be due to persistent uterine bleeding without other techniques to control the bleeding. We believe well-designed prospective studies are required if precise conclusions are desired.…”

Section: Discussionmentioning

confidence: 99%

Differential Effects of Intrauterine Balloon Tamponade Indications on Postpartum Hemorrhage Outcomes

Chen

Wen

et al. 2022

Front. Med.

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ObjectiveTo determine whether the indication of intrauterine balloon tamponade (IUBT) was associated with postpartum hemorrhage (PPH) outcomes.MethodsPatients with PPH who underwent IUBT between January 2013 and November 2021 were included in a cohort study. PPH outcomes in patients who had IUBT for indications of uterine atony were compared to those who had IUBT for indications of placental site bleeding. PPH outcomes included uterine artery embolization (UAE) or hysterectomy after IUBT, estimated blood loss (EBL) after balloon placement, and blood transfusion. Statistical analysis was performed using multivariate logistic regression.ResultsIUBT was performed on 603 cases, with 121 (20.1%) undergoing it for placental site bleeding and 482 (79.9%) for uterine atony. In general, IUBT was a reliable treatment for PPH, but the specific efficacy varied depending on the indication for placement. After controlling for confounding variables, compared to the indication of uterine atony, the indication of placental site bleeding increased the risk of transfusion of ≥4 units of PRBCs (aOR 2.47, 95%CI 1.32–3.98), EBL ≥ 300 ml after IUBT (aOR 3.78, 95%CI 2.22–5.33), and UAE or hysterectomy (aOR 2.52, 95%CI 1.20–6.01), respectively. Other factors associated with adverse PPH outcomes were lower antenatal hemoglobin, higher IUBT volume, longer duration of IUBT and larger shock index values.ConclusionsIUBT was less effective in treating PPH patients with indications of placental site bleeding than with indications of uterine atony. Follow-up monitoring of PPH patients with placental site bleeding should be intensified.

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“…Indeed, in a postpublication exchange, these authors speculated that it is reasonable to considerable balloon removal before 12 hours if hemostasis is firmly established. 15 , 16 …”

Section: Procedural Detailsmentioning

confidence: 99%

ebb<sup>®</sup> Complete Tamponade System: effective hemostasis for postpartum hemorrhage

McQuivey

Block²,

Massaro

2018

MDER

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As a leading cause of maternal death, postpartum hemorrhage (PPH) remains a worldwide obstetrical problem. However, in most cases, mortality and morbidity can be averted if efforts are immediately undertaken to achieve hemostasis. Uterine balloon tamponade has been shown to provide effective control of PPH and avoid more invasive surgical procedures and even the emergency peripartum hysterectomy. Recent clinical recommendation suggests that balloon tamponade should be considered earlier in the treatment cascade in conjunction with uterotonic agents to ensure hemostasis in the most timely fashion and maximize clinical outcomes. This paper profiles the ebb® Complete Tamponade System, a unique dual-balloon single-use device that was developed specifically for hemostatic management of PPH. The ebb system combines a uterine conforming balloon that can be rapidly deployed with a vaginal balloon that eliminates the need for vaginal packing. The description, indications for use, procedural steps, and clinical characterization of this device are presented.

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Excessive duration of intrauterine balloon placement

Cited by 3 publications

References 4 publications

Hysteroscopy after conservative surgical treatment of severe postpartum hemorrhage due to uterine atony: A systematic literature review

Hysteroscopy after conservative surgical treatment of severe postpartum hemorrhage due to uterine atony: A systematic literature review

Differential Effects of Intrauterine Balloon Tamponade Indications on Postpartum Hemorrhage Outcomes

ebb<sup>®</sup> Complete Tamponade System: effective hemostasis for postpartum hemorrhage

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Excessive duration of intrauterine balloon placement

Cited by 3 publications

References 4 publications

Hysteroscopy after conservative surgical treatment of severe postpartum hemorrhage due to uterine atony: A systematic literature review

Hysteroscopy after conservative surgical treatment of severe postpartum hemorrhage due to uterine atony: A systematic literature review

Differential Effects of Intrauterine Balloon Tamponade Indications on Postpartum Hemorrhage Outcomes

ebb<sup>&reg;</sup> Complete Tamponade System: effective hemostasis for postpartum hemorrhage

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Product

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ebb<sup>®</sup> Complete Tamponade System: effective hemostasis for postpartum hemorrhage