Success factors for Bakri<sup>™</sup> balloon usage secondary to uterine atony: a retrospective, multicentre study

Vintejoux, Emmanuelle; Dirnagl, Ulrich; Mousty, E.; Masia, Florent; Marès, P.; Tayrac, Renaud de; Letouzey, V.

doi:10.1111/ajo.12376

Cited by 30 publications

(22 citation statements)

References 23 publications

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“…The data demonstrated that presence of coagulopathy and placenta accreta, as well as higher blood loss at the time of balloon insertion and higher drainage volume from the uterine cavity within the first 30 minutes were negatively associated with the success of IUBT. Despite arguments against the “paradoxical” use of IUBT with uterine atony to expand rather than contract the uterus, most studies show that the method was equally effective for managing PPH due to uterine atony as for placental site bleeding . In the present study, we were unable to show any significant difference in the success rate between placenta previa and uterine atony patients, with success rates of 69.8% (37/53) and 76.0% (19/25), respectively.…”

Section: Discussioncontrasting

confidence: 82%

“…Despite arguments against the "paradoxical" use of IUBT with uterine atony to expand rather than contract the uterus, most studies show that the method was equally effective for managing PPH due to uterine atony as for placental site bleeding. 19,20 In the present study, we were unable to show any significant difference in the success rate between placenta previa and uterine atony patients, with success rates of 69.8% (37/53) and 76.0% (19/25), respectively.…”

Section: Discussioncontrasting

confidence: 70%

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Prognostic factors for the use of intrauterine balloon tamponade in the management of severe postpartum hemorrhage

Kong

2018

Intl J Gynecology & Obste

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Section: Discussioncontrasting

confidence: 82%

Section: Discussioncontrasting

confidence: 70%

Prognostic factors for the use of intrauterine balloon tamponade in the management of severe postpartum hemorrhage

Kong

2018

Intl J Gynecology & Obste

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“…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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“…There is no clear evidence on how long the tamponade should be left in place, but its effects can be observed after 4-6 h in most cases. In a small case series, success rates of uterine balloon catheters for controlling hemorrhage ranged from 57% after cesarean delivery to 100% after vaginal delivery [50,51].…”

Section: Uterine Balloon Tamponadementioning

confidence: 99%

Massive Postpartum Hemorrhage: Protocol and Red Code

Masip¹,

Almeida-Toledano²,

Ferrero-Martínez³

et al. 2017

Obstetrics

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Postpartum hemorrhage (PPH) is the leading cause of maternal death. In developing countries, approximately 8% of maternal death is caused by PPH. Protocols should provide a standardized approach to evaluate and monitor the patients. A standard protocol must be recognized by the institution and must be accepted and known by all team members. Additionally, it is important to have a massive obstetric hemorrhage protocol (red code) for those patients with an important bleeding who require blood products available as soon as possible. In the red code activation protocol there are several key points to consider: the management algorithm must be known and accepted by all team members, a clear and effective communication between the team must be established and all the participants must know the role they play. Massive obstetric hemorrhage has a multidisciplinary implication: obstetricians, anesthesiologists, pediatricians, midwife, nurses, auxiliary staff, and laboratory blood bank staff. The active participation of the multidisciplinary team in simulations before the protocols implementation facilitates the evaluation of critical points and subsequent changes before their final application, the assessment of the adequacy of circuits and infrastructure, as well as a better protocols compliance.

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Success factors for Bakri^™ balloon usage secondary to uterine atony: a retrospective, multicentre study

Abstract: The use of the Bakri™ balloon method, if undertaken early, is effective for the management of PPH with uterine atony (100% success compared to 69% overall success rate). Intrauterine balloon tamponade should included in PPH management guidelines.

Cited by 30 publications

References 23 publications

Prognostic factors for the use of intrauterine balloon tamponade in the management of severe postpartum hemorrhage

Prognostic factors for the use of intrauterine balloon tamponade in the management of severe postpartum hemorrhage

Management of postpartum hemorrhage: how to improve maternal outcomes?

Massive Postpartum Hemorrhage: Protocol and Red Code

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Success factors for Bakri™ balloon usage secondary to uterine atony: a retrospective, multicentre study

Abstract: The use of the Bakri™ balloon method, if undertaken early, is effective for the management of PPH with uterine atony (100% success compared to 69% overall success rate). Intrauterine balloon tamponade should included in PPH management guidelines.

Cited by 30 publications

References 23 publications

Prognostic factors for the use of intrauterine balloon tamponade in the management of severe postpartum hemorrhage

Prognostic factors for the use of intrauterine balloon tamponade in the management of severe postpartum hemorrhage

Management of postpartum hemorrhage: how to improve maternal outcomes?

Massive Postpartum Hemorrhage: Protocol and Red Code

Contact Info

Product

Resources

About

Success factors for Bakri^™ balloon usage secondary to uterine atony: a retrospective, multicentre study