Successful use of a Bakri Tamponade Balloon in the treatment of puerperal uterine inversion during caesarean section

Vivanti, Alexandre J.; Furet, E.; Nizard, J.

doi:10.1016/j.jgyn.2016.03.009

Cited by 9 publications

(4 citation statements)

References 7 publications

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“…This allowed treating extreme uterine atony, immediate haemorrhage, and prevented a possible risk of immediate recurrence. 12 In our study though some reviews mention that tamponade might be less effective in established DIC cases, we were successful in managing the atony and hemorrhage due to DIC in two cases of abruption complicated by DIC. Both patients were stabilised after transfusion of blood products.…”

Section: Discussionmentioning

confidence: 54%

A study of uterine balloon tamponade for the management postpartum haemorrhage using Bakri balloon

Patil

Indumathi

Sarojini

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: PPH is the most common cause of maternal morbidity and mortality around the world. Incidence of PPH is 2-4% following vaginal delivery and 6% following cesarean delivery in India. Uterine atony is the most common cause of PPH. Treatment of PPH involves medical treatment and surgical management. In between medical and surgical management of PPH comes uterine balloon tamponade which is simple, less invasive and can be managed with minimal training.Methods: A retrospective cohort study was done for 2 years at Vanivilas hospital, Bangalore medical college and research centre, Bangalore, Karnataka. Cases of atonic PPH managed using Bakri balloon were included in the study. The objective of the study was to study the effectiveness of uterine balloon tamponade using Bakri balloon in the management of atonic PPH and to study the maternal outcome.Results: In this study total of 50 cases were included. Women were in the age group of 18 to 33years. Regarding obstetric history, 22 (44%) were primigravida and 28 (56%) was multigravida. Among these 50 cases 8 (16%) women had undergone caesarean delivery and 42(84%) had vaginal delivery. All women received blood transfusion, 17 (34%) received blood and blood components (like PRBC, FFP AND platelets) and 33 (66%) cases received only PRBC transfusion. In these 50 cases, 32 (64%) required ICU admission for monitoring, remaining 18 (36%) were monitored in the labor-room. Bakri balloon was effective in 49 cases among 50. Success rate was 98%.Conclusions: Intrauterine balloon tamponade using Bakri balloon is effective for control of atonic PPH in majority of cases.

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Section: Discussionmentioning

confidence: 54%

A study of uterine balloon tamponade for the management postpartum haemorrhage using Bakri balloon

Patil

Indumathi

Sarojini

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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“…[3,20] There is a case report of successful use of a Bakri-filled balloon for puerperal uterine involution during cesarean section. [21] O'Sullivan hydrostatic reduction has also been reported for acute uterine inversion. [22] We recommend that uterine repositioning be done under ultrasound guidance, which helps to visualize and guide the uterine repositioning.…”

Section: Discussionmentioning

confidence: 99%

Acute puerperal uterine inversion with successful manual transvaginal repositioning: A case report

Gao,

Jiang,

Jia

et al. 2024

Medicine

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Rationale: Uterine inversion is a rare medical condition that is categorized as puerperal and nonpuerperal. Repositioning of uterine involution can be done manually or surgically, the latter of which involves abdominal manipulation and disruption of the integrity of the uterine wall, which can lead to complications for the patient in subsequent pregnancies, such as uterine rupture. Patient concerns: We report a case of acute puerperal uterine inversion that was manually repositioned transvaginally. An ultrasonogram and reset schematic were also presented. A 23-year-old woman (gravida 1 para 0) was admitted to the hospital with a full-term pregnancy. Diagnoses: In the postpartum period, we found placental adhesions and uterine inversion into the uterine cavity, which was confirmed by bedside ultrasound. Interventions and outcomes: We administered analgesic, relieving uterine spasms, and antishock therapy along with manual stripping of the placenta and ultrasound-guided uterine repositioning. After successful repositioning the patient vaginal bleeding decreased rapidly and she was discharged 3 days after delivery. Lessons: Early recognition, antishock therapy and prompt repositioning are key in the management of puerperal uterine inversion. We hope that this case will enable clinicians to better visualize the ultrasound imaging of uterine inversion and the process of manual repositioning.

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“…2. Bakri balloon has also been used to control haemorrhage and reduce the possible risk of immediate recurrent inversion. 13…”

Section: Discussionmentioning

confidence: 99%

Uterine inversion during caesarean section: a case report

Raj

Roy

Zangmo

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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The present report aim to sensitise the obstetrician regarding risk of uterine inversion in a scarred uterus and the importance of immediate manual replacement. Represented case is of 40 years gravida five with previous one spontaneous abortion and previous history of three ectopic pregnancies with history of open left salpingectomy for ruptured left tubal ectopic pregnancy and history of laparoscopic right tubal clipping and uterine rupture repair for cornual pregnancy underwent an emergency caesarean section at 34 weeks. Since there were no signs of placental separation, controlled cord traction of placenta was attempted and uterine inversion was noticed. Manual replacement of uterus was done followed by manual removal of the adherent placenta. There was no postpartum haemorrhage. Inversion of uterus during caesarean section is a rare obstetric complication. If unrecognized it could lead to serious morbidity due to haemorrhage and shock. Prompt diagnosis and repositioning of the uterus are important measures in management.

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Successful use of a Bakri Tamponade Balloon in the treatment of puerperal uterine inversion during caesarean section

Cited by 9 publications

References 7 publications

A study of uterine balloon tamponade for the management postpartum haemorrhage using Bakri balloon

A study of uterine balloon tamponade for the management postpartum haemorrhage using Bakri balloon

Acute puerperal uterine inversion with successful manual transvaginal repositioning: A case report

Uterine inversion during caesarean section: a case report

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