Bakri balloon tamponade as first step to manage severe post partum haemorrhage

Alouini, Souhail

doi:10.1007/s11845-014-1209-x

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…(55/61 cases) in the study by Alouini et al 16 In agreement with other studies, intrauterine balloon tamponade is effective for PPH even if massive bleeding during delivery.…”

supporting

confidence: 89%

Efficacy of Bakri Balloon Tamponade in Massive Postpartum Hemorrhage: A Series of 57 Cases

Kwon

Kim

Park³

et al. 2016

Perinatology

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Purpose:To evaluate the efficacy of intrauterine Bakri balloon tamponade as a management of massive postpartum hemorrhage (PPH). Methods: Retrospective study including women who underwent intrauterine Bakri balloon tam ponade for massive PPH between April 2010 and July 2015 was conducted. Massive PPH was defined as estimated blood loss exceeding 1,500 mL. Bakri balloon was inserted into uterus if wo men had PPH despite medical treatment after vaginal delivery or cesarean section. The balloon was inflated with sterile saline and removed after 1224 hours. Failure was defined as needing another procedure for hemorrhage control. Demographic, obstetric and specific factors in regard to the Bakri balloon use were recorded. The successful rate of hemostasis by Bakri balloon was evaluated. Results: Among 138 women with PPH managed Bakri balloon insertion, 57 patients were dia gnosed with massive PPH. The most common cause of massive PPH was placenta previa without accreta (54.4%), uterine atony (33.3%), placenta previa with accreta (10.5%) and placenta accreta (1.8%). The mean estimated blood loss was 2279.0 mL (range, 1,5006,500 mL). The rate of success ful control of massive PPH after Bakri balloon placement was 82.5%. From the cases of 57 patients, 10 patients needed additional procedures; five required uterine artery embolization and five under went cesarean hysterectomy. No shortterm complications or maternal death were observed after Bakri balloon insertion. Conclusion: Bakri balloon tamponade is an effective, simple and quick approach in the treatment of massive PPH and it is useful as complementary management for earning time for another procedure.

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“…(55/61 cases) in the study by Alouini et al 16 In agreement with other studies, intrauterine balloon tamponade is effective for PPH even if massive bleeding during delivery.…”

supporting

confidence: 89%

Efficacy of Bakri Balloon Tamponade in Massive Postpartum Hemorrhage: A Series of 57 Cases

Kwon

Kim

Park³

et al. 2016

Perinatology

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“…Besides, this method can be applied not only to the pregnant women with uterine atony, but also to hemorrhage caused by placental factors or coagulation dysfunction, especially for hemorrhage caused by low placental position, which advocates the placement as soon as possible after determining the cause of hemorrhage and excluding placental factors. Some previous studies have also presented methods to improve BBT placement [16][17][18][19]. However, although the practice is common in clinic, there have been no reports addressing this issue, nor the standard operating procedure.…”

Section: Discussionmentioning

confidence: 99%

“…However, in our clinical experience difficulties with placement and slippage of the balloon have not been completely overcome, especially after vaginal delivery. In related literature [16][17][18][19], improved methods, such as "holding the cervix", "placing the gauze piece transvaginally", have been discussed but those reports have not systematically and strictly regulated the procedure. Furthermore, most reports involve patients after cesarean delivery and there is an absence of recent reports on BBT after vaginal delivery.…”

Section: Introductionmentioning

confidence: 99%

An alternative method of Bakri balloon placement for postpartum hemorrhage after vaginal delivery

Wang,

Yan,

Zhuang

et al. 2023

Ginekol Pol

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Objectives:We developed a new Bakri balloon tamponade (BBT) placement technique after vaginal delivery, which aimed to be faster without balloon slippage. This study compared the new method with standard placement of BBT in women with postpartum hemorrhage (PPH) after vaginal delivery. Material and methods:This study was undertaken of women who underwent vaginal delivery at the obstetrics and gynecology departments of the

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“…Among the mechanical methods, there is the balloon made using a condom, not used here; whereas it is an effective, accessible, simple to implement and non-invasive method that improves the management of hemorrhage refractory to initial treatment [18]. Its effectiveness is comparable to that of the Bakri balloon with a success rate of 86% in the Alouini series [19] and to that of intrauterine packing which has an estimated success rate of 91.9% [20].…”

Section: Management Of Postpartum Hemorrhage: According To Internatio...mentioning

confidence: 99%

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2022

RMGO

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Bakri balloon tamponade as first step to manage severe post partum haemorrhage

Cited by 3 publications

References 4 publications

Efficacy of Bakri Balloon Tamponade in Massive Postpartum Hemorrhage: A Series of 57 Cases

Efficacy of Bakri Balloon Tamponade in Massive Postpartum Hemorrhage: A Series of 57 Cases

An alternative method of Bakri balloon placement for postpartum hemorrhage after vaginal delivery

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