Postpartum hemorrhage is one of the leading causes of maternal death in the world, representing the 27 %. More than two thirds of these cases have been classified as postpartum hemorrhage (PPH). The guidelines for the treatment of PPH implicate a step by step focus, initiating with the exclusion of retained placental tissue, genital tract trauma, uterine massage and multiple uterotonic agents. If bleeding control is not accomplished, it requires surgical intervention like compression sutures, internal iliac artery ligation and obstetric hysterectomy. Recently the balloon uterine tamponade has been added to the management of PPH. Here in the High Specialty Unit we use the Sengstaken Blakemore (SSB) balloon as uterine tamponade.Objectives: Comparing the time of the SSB balloon permanence in relation to the bleeding control success in postpartum hemorrhage patients.
Methods:A comparative, retrospective and transversal analytical study will be carried out in patients that had there pregnancy terminated in this unit and was treated with SSB uterine tamponade.Results: Registries were obtained from 149 files from patients with PPH that were treated with SSB uterine tamponade in a period of time understood from 2013-2014, a success rate was found with SSB uterine tamponade of 92.62% (P=<0.001), it was estimated that over 20.5 hours (SEN 52.9%, SPE 77.2%) doesn't offer greater benefit carrying out the permanence of the SSB uterine tamponade, securely removing the tamponade at this time.
Conclusion:The SSB uterine tamponade is being used in Monterrey, Nuevo Leon with a greater success rate than the one reported in literature; the age of the patient and the number of pregnancies are variables that can predict the probable success of the treatment, and that once installed the ideal time of permanence of the uterine tamponade can be less than 20.5 hours. guidelines for postpartum hemorrhage implicate a step by step focus, initiating with the exclusion of retained placental tissue and obstetrical trauma. Uterine Atony is treated with uterine massage and compression and multiple uterotonic agents such as oxytocin, ergonovine, misoprostol and F2 a Prostaglandins (PGF2a). If bleeding control is not accomplished, it requires surgical intervention like compression sutures, internal iliac artery ligation and obstetric hysterectomy. Recently the balloon uterine tamponade has been added to the management of PPH. Although Uterine Tamponade has recently been added to the management of PPH by the WHO in 2012 as a rescue intervention for PPH, it hasn't been integrated to the Health Systems Protocols [2]. In the majority of the Health Centers this procedure has been used before surgical interventions. Historically uterine tamponade was used with gauzes and compresses, but the technical difficulty of insertion and the risk of perforation, the SSB uterine tamponade have been favored by gynecologists. In various series of studies, it has been reported the successful use of a great variety of balloon devices, including the Sengstaken ...
