Home Medicine Balloon tamponade for the management of postpartum uterine hemorrhage
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Balloon tamponade for the management of postpartum uterine hemorrhage

  • Bariş Kaya EMAIL logo , Abdullah Tuten , Korkut Daglar , Mesut Misirlioglu , Mesut Polat , Yusuf Yildirim , Orhan Unal , Gokhan Sami Kilic and Onur Guralp
Published/Copyright: March 25, 2014

Abstract

Objective: To evaluate the use of the Bakri balloon in postpartum hemorrhage (PPH) resistant to medical treatment.

Methods: The Bakri balloon was applied to 45 women with PPH after failure of initial management. Bilateral internal iliac artery ligation (BIIAL) and hysterectomy were performed if necessary.

Results: The Bakri balloon was applied in 45 women; an additional BIIAL was required in nine women. The mean inflation volume of the Bakri balloon was 571±264 mL (range: 240–1300 mL). Hemostasis was achieved in 34 (75.5%) women with the Bakri balloon alone, and in six women with an additional BIIAL. The Bakri balloon was effective with additional procedures overall in 40 of 45 (88.8%) women. In 34 women with uterine atony, the Bakri balloon was successful alone in 27 (79.4%) and with an additional BIIAL in 30 (88.2%) women. An inflation volume of >500 mL was necessary in 18 women with uterine atony.

Conclusion: The Bakri balloon may be performed as a first line of treatment for PPH resistant to uterotonic agents, and can be used not only in tertiary centers but also in limited-resource centers. The inflation volume of the Bakri balloon should be adjusted according to the type of PPH; a volume exceeding 500 mL may be necessary in uterine atony.


Corresponding author: Bariş Kaya, Department of Obstetrics and Gynecology, Near East University Faculty of Medicine, Lefkosa-TRNC, Mersin 10, Turkey, Mobile: +90533 885 83 38, Fax: +0392 675 10 90, E-mail:
aBariş Kaya and Onur Guralp equally contributed to the study.

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The authors stated that there are no conflicts of interest regarding the publication of this article.


Supplemental Material

The online version of this article (DOI: 10.1515/jpm-2013-0336) offers supplementary material, available to authorized users.


Received: 2013-12-9
Accepted: 2014-2-27
Published Online: 2014-3-25
Published in Print: 2014-11-1

©2014 by De Gruyter

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