Reconsideration of the uterine pack in postpartum hemorrhage

Successful use of a Sengstaken‐Blakemore tube to control massive postpartum haemorrhage

“…Drucker and Wallach (1979) reported the successful use of uterine packing in 13/15 cases where all other measures had failed and recommended reappraisal of its use for cases where genital tract trauma had been excluded. This echoed the opinions of earlier authors (Pierce & Winkler 1956;Lester et al 1965) who, however, were treating patients without the benefit of powerful pharmacological agents such as carboprost .…”

Balloon tamponade in the management of postpartum haemorrhage: a review

“…17,18 In one series of 163 cases, 158 (97%) of these resulted in 'immediate control of bleeding'. 19 Sterile gauze was invariably used for uterine packing, but more recently, balloon technology has been used to tamponade the postpartum uterus to control haemorrhage. This involves inserting a rubber or silicone balloon into the uterine cavity and inflating the balloon with normal saline.…”

Balón de Bakri en hemorragia en Medellín (Colombia): reporte de caso y revision de la literatura

“…Inicialmente se realizaba empaquetamiento uterino, utilizando gasas estériles y con el cual se obtenía un control inmediato del sangrado en el 97% de los casos, aunque este cayó en desuso gradualmente por sus frecuentes efectos adversos tales como trauma e infecciones. 22 Más recientemente el taponamiento uterino se ha realizado con balones, bien sea de silicona o de látex, que se insuflan con solución salina para ejercer una presión hidrostática sobre el útero. 23 Se han reportado varios tipos de balones en el manejo de la HPP: Sengstaken-Blakemore, Rusch y catéter condón.…”