Maternal Outcomes After Uterine Balloon Tamponade for Postpartum Hemorrhage

Martin, Emmanuelle; Cheve, Marie-Thérèse; Legendre, Guillaume; Multon, O.; Sentilhes, Loïc; Bouet, Pierre‐Emmanuel

doi:10.1097/01.aoa.0000479509.27742.bc

Cited by 3 publications

(4 citation statements)

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“…These results are encouraging and show the efficacy of the intra-uterine balloon in the management of IPPH. Several authors have reported results similar to ours [4,[6][7][8]. Indeed, in the Condous series of 16 patients with persistent bleeding, Sengstaken-Blakemore catheterization was effective in 14 of them, only 2 patients required a surgical procedure because of a placenta Praevia [7].…”

Section: Discussionsupporting

confidence: 74%

Untitled

2019

JGWH

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Section: Discussionsupporting

confidence: 74%

Untitled

2019

JGWH

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“…Hysterectomy to avoid maternal death should be performed ‘sooner rather than later’, according to the Royal College of Obstetricians & Gynaecologists (RCOG) . Intrauterine balloon tamponade, arterial embolization, arterial ligation and uterine compression sutures have all been reported to be effective in stopping hemorrhage and preventing hysterectomy . Yet, if unsuccessful, these interventions may also delay hysterectomy, especially because they are performed with low frequency, and thus, experience with these techniques may be insufficient.…”

Section: Improving Maternal Outcomes: Obstetric Interventions To Stopmentioning

confidence: 99%

“…Intrauterine balloon tamponade, arterial embolization, arterial ligation and uterine compression sutures have all been reported to be effective in stopping hemorrhage and preventing hysterectomy [40][41][42][43][44][45][46][47][48][49][50][51]. Yet, if unsuccessful, these interventions may also delay hysterectomy, especially because they are performed with low frequency, and thus, experience with these techniques may be insufficient.…”

Section: Improving Maternal Outcomes: Obstetric Interventions To Stopmentioning

confidence: 99%

Management of postpartum hemorrhage: how to improve maternal outcomes?

Henriquez

Bloemenkamp

Bom

2018

Journal of Thrombosis and Haemostasis

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Postpartum hemorrhage is the leading cause of maternal mortality and severe morbidity. Despite efforts to improve maternal outcomes, management of postpartum hemorrhage still faces at least four challenges, discussed in this review. First, current definitions for severe postpartum hemorrhage hamper early identification of women with a high risk of adverse outcomes. Adaptations to the definitions and the use of clinical tools such as shock index and early warning systems may facilitate this early identification. Second, surgical and radiological interventions to prevent hysterectomy are not always successful. More knowledge on the influence of patient and bleeding characteristics on the success rates of these interventions is necessary. Scarce data suggest that early timing of intrauterine balloon tamponade may improve maternal outcomes, whereas early timing of arterial embolization seems to be unrelated to maternal outcomes. Third, fluid resuscitation with crystalloids and colloids is unavoidable in the early phases of postpartum hemorrhage but may result in dilutional coagulopathy. Effects of different volumes of clear fluids on the occurrence of dilutional coagulopathy and maternal outcomes is unknown. Fourth, a better understanding of diagnosis and correction of coagulopathy during postpartum hemorrhage is needed. Low plasma fibrinogen levels at the start of postpartum hemorrhage predict progression to severe hemorrhage, but standard coagulation screens are time consuming. A solution may be point-of-care coagulation testing; however, clinical usefulness during postpartum hemorrhage has not been demonstrated. To date, early administration of tranexamic acid is the only hemostatic intervention that was proven to improve outcomes in women with postpartum hemorrhage.

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“…The RCOG recommends balloon tamponade for uterine atony and placental site anomalies to reduce bleeding. Balloon tamponade is a safe, effective, and easy way to treat primary postpartum hemorrhage (Martin et al, 2015;No, 2016). Hysterectomy was 75% less likely with gauze uterine packing (Schmid et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Uterine Packing and Intrauterine Balloon Tamponade in Atonic Postpartum Hemorrhage Comparison

KHAN,

ALI

2023

Biol Clin Sci Res J

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A randomized controlled trial was conducted between March 1, 2023, and September 1, 2023, at the Gynae unit of the Mardan Hospital complex in Mardan. The study aimed to evaluate the effectiveness of two strategies in treating postpartum hemorrhage caused by atony. The two strategies evaluated were uterine gauze packing and uterine balloon tamponade. A total of 168 women who had experienced postpartum hemorrhage due to uterine atony after a vaginal birth were enrolled in the study through non-probability sampling. Patients with clotting disorders, trauma-related hemorrhage, and those who had undergone cesarean deliveries were excluded from the study. The study had two groups of patients, with 84 patients enrolled in group A and 84 in group B. The study aimed to compare the effectiveness of the two strategies in minimizing blood loss in the first 24 hours following birth. The study found that uterine balloon tamponade was more effective in reducing postpartum hemorrhage caused by uterine atony than uterine gauze packing. Specifically, 75 (89.3%) patients in group A reported the effectiveness of uterine balloon tamponade, while uterine gauze packing was reported in 61 (72.6%) patients in group B. This difference in effectiveness was statistically significant (P=0.006). The Chi-square test was used to compare the two groups, with a P value of 0.05 considered significant. In conclusion, the study suggests that uterine balloon tamponade is more effective in reducing postpartum hemorrhage caused by uterine atony than uterine gauze packing.

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Maternal Outcomes After Uterine Balloon Tamponade for Postpartum Hemorrhage

Cited by 3 publications

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Management of postpartum hemorrhage: how to improve maternal outcomes?

Efficacy of Uterine Packing and Intrauterine Balloon Tamponade in Atonic Postpartum Hemorrhage Comparison

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