Serum fibrinogen levels could be an index of successful use of balloon tamponade in postpartum hemorrhage
-
Ayaka Nakashima
,
Masaya Chita
Abstract
Objective:
The object of our study was to determine whether serum fibrinogen levels could be used to predict the success rates of balloon tamponade and decrease the use of invasive methods.
Methods:
This retrospective study, conducted at Rinku General Medical Center, was aimed to identify factors associated with high success rates in balloon tamponade. Forty-six patients with postpartum hemorrhage (PPH), non-responsive to uterotonics and treated with balloon tamponade between April 2008 and March 2015, were included.
Results:
Forty-six women were included, of which 34 underwent vaginal delivery and 12 underwent cesarean delivery. There were no complications from balloon tamponade and its success rate was 73.3%. Seven women required additional procedures: One used gauze packing, three used uterine artery embolization, and five underwent peripartum hysterectomy. The cut-off line of serum fibrinogen level was 172.5 mg/dL (P=0.002) with its 77.4% sensitivity and 66.7% specificity.
Conclusion:
We recommend measuring serum fibrinogen level for predicting whether the balloon tamponade can be used successfully or not.
Author’s statement
Conflict of interest: Authors state no conflict of interest.
Material and methods: Informed consent: Informed consent has been obtained from all individuals included in this study.
Ethical approval: The research related to human subject use has complied with all the relevant national regulations, and institutional policies, and is in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.
References
[1] World Health Organization Attending to 136 million births, every year: make every mother and child count: the World Health Report, 2005, 62–63. World Health Organization, Geneva.Search in Google Scholar
[2] Ford JB, Roberts CL, Simpson JM, Vaughan J, Cameron CA. Increased postpartum hemorrhage rates in Australia. Int J Gynaecol Obstet. 2007;98:237–43.10.1016/j.ijgo.2007.03.011Search in Google Scholar
[3] AbouZahr C. Global burden of maternal death and disability. Br Med Bull. 2003;67:1–11.10.1093/bmb/ldg015Search in Google Scholar
[4] Hoyert DL. Maternal mortality and related concepts. Vital Health Stat. 2007;3:1–13.Search in Google Scholar
[5] Postpartum hemorrhage. ACOG Practive Bulletin No.76. American College of Ostetricians and Gyneologists. Obstet Gynecol. 2006;108:1039–47.10.1097/00006250-200610000-00046Search in Google Scholar
[6] Pritchard JA. Blood volume changes in pregnancy and the puerperium. Red blood cell loss and changes in apparent blood volume during and following vaginal delivery, cesarean section, and cesarean section plus total hysterectomy. Am J Obstet Gynecol. 1962;84:1271.10.1016/S0002-9378(16)35734-9Search in Google Scholar
[7] Clark SL, Yeh SY, Phelan JP, Bruce S, Paul RH. Emergency hysterectomy for obstetric hemorrhage. Obstet Gynecol. 1984;64:376–80.10.1097/00006254-198502000-00010Search in Google Scholar
[8] McLintock C, James AH. Obstetric hemorrhage. J Thromb Haemost. 2011;9:1441–51.10.1111/j.1538-7836.2011.04398.xSearch in Google Scholar PubMed
[9] Bonnar J. Massive obstetric haemorrhage. Baillieres Best Pract Res Clin Obstet Gynaecol. 2000;14:1–18.10.1053/beog.1999.0060Search in Google Scholar PubMed
[10] Charbit B, Mandelbrot L, Samain E, Baron G, Haddaoui B, Keita H, et al. The decrease of fibrinogen is an early predictor of the severity of postpartum hemorrhage. J Thromb Haemost. 2007;5:266–73.10.1111/j.1538-7836.2007.02297.xSearch in Google Scholar PubMed
[11] Dabelea V, Schultze PM, McDuffie RS. Intrauterine balloon tamponade in the management of postpartum hemorrhage. Am J Perinatol. 2007;24:359–64.10.1055/s-2007-984402Search in Google Scholar PubMed
[12] Vitthala S, Tsoumpou I, Anjum ZK, Aziz NA. Use of Bakri balloon in postpartum haemorrhage; a series of 15 cases. Aust NZ J Obstet Gynaecol. 2009;49:191–4.10.1111/j.1479-828X.2009.00968.xSearch in Google Scholar PubMed
[13] Diemert A, Ortmeyer G, Hollwitz B, Lotz M, Somville T, Glosemeyer P, et al. The combination of intrauterine balloon tamponade and the B-Lynch procedure for the treatment of severe postpartum hemorrhage. Am J Obstet Gynecol. 2012;206:65.e1–4.10.1016/j.ajog.2011.07.041Search in Google Scholar PubMed
[14] Aibar L, Aguilar MT, Puertas A, Valverde M. Bakri balloon for the management of postpartum hemorrhage. Acta Obstet Gynecol Scand. 2013;92:465–7.10.1111/j.1600-0412.2012.01497.xSearch in Google Scholar PubMed
[15] Grönvall M, Tikkanen M, Tallberg E, Paavonen J, Stefanovic V. Use of Bakri balloon tamponade in the treatment of postpartum hemorrhage: a series of 50 cases from a tertiary teaching hospital. Acta Obstet Gynecol Scand. 2013;92:433–8.10.1097/01.aoa.0000446322.20716.afSearch in Google Scholar
[16] Olsen R, Reisner DP, Benedetti TJ, Dunsmoor-Su RF. Bakri balloon effectiveness for postpartum hemorrhage: a “real world” experience. J Matern Fetal Neonatal Med. 2013;26:1720–3.10.3109/14767058.2013.796354Search in Google Scholar PubMed
[17] Vrachnis N, Salakos N, Iavazzo C, Grigoriadis C, Iliodromiti Z, Siristatidis C, et al. Bakri balloon tamponade for the management of postpartum hemorrhage. Int J Gynaecol Obstet. 2013;122:265–6.10.1016/j.ijgo.2013.03.028Search in Google Scholar PubMed
[18] Kaya B, Tuten A, Daglar K, Misirlioglu M, Polat M, Yildirim Y, et al. Balloon tamponade for the management of postpartum uterine hemorrhage. J Perinat Med. 2014;42:745–53.10.1515/jpm-2013-0336Search in Google Scholar PubMed
[19] Vintejoux E. Success factors for Bakri balloon usage secondary to uterine atony: a retrospective, multicenter study. Aust NZ J Obstet Gynaecol. 2015;55:572–7.10.1111/ajo.12376Search in Google Scholar PubMed
[20] Yamamoto K. Underlying mechanisms of transfusion therapy for obstetric massive hemorrhage. Jpn J Transfus Cell Ther. 2012;58:745–52.10.3925/jjtc.58.745Search in Google Scholar
[21] Al-Zirqi I, Vangen S, Forsen L, Stray-Pedersen B. Prevalence and risk factors of severe obstetric haemorrhage. Br J Obstet Gynaecol. 2008;115:1265–72.10.1111/j.1471-0528.2008.01859.xSearch in Google Scholar PubMed
[22] O’Shaughnessy DF, Atterbury C, Bolton MP, Murphy M, Thomas D, Yates S, et al. Guidelines for the use of fresh-frozen plasma, cryoprecipitate and cryosupernatant. Br J Haematol. 2004;126:11–28.10.1111/j.1365-2141.2004.04972.xSearch in Google Scholar PubMed
[23] Kozek-Langenecker SA, Afshari A, Albaladejo P, Santullano CA, De Robertis E, Filipescu DC, et al. Management of severe perioperative bleeding: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol. 2013;30:270–382.10.1097/EJA.0b013e32835f4d5bSearch in Google Scholar PubMed
©2018 Walter de Gruyter GmbH, Berlin/Boston
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- Serum fibrinogen levels could be an index of successful use of balloon tamponade in postpartum hemorrhage
- Impact factors on cervical dilation rates in the first stage of labor
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- Original articles – Fetus
- Causes of intrauterine fetal death are changing in recent years
- Original articles – Newborn
- Proactive approach at the limits of viability improves the short-term outcome of neonates born after 23 weeks’ gestation
- Letter to the Editor
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Articles in the same Issue
- Frontmatter
- Review article
- The assessment of labor: a brief history
- Original articles – Obstetrics
- The combined exposure to intra-amniotic inflammation and neonatal respiratory distress syndrome increases the risk of intraventricular hemorrhage in preterm neonates
- Uterine artery Doppler pulsatility index at 11–38 weeks in ICSI pregnancies with egg donation
- Violence before pregnancy and the risk of violence during pregnancy
- Cancer during pregnancy – clinical characteristics, treatment outcomes and prognosis for mothers and infants
- The effect of attending a prenatal childbirth preparedness course on labor duration and outcomes
- Serum fibrinogen levels could be an index of successful use of balloon tamponade in postpartum hemorrhage
- Impact factors on cervical dilation rates in the first stage of labor
- Feasibility and acceptability of text messaging to support antenatal healthcare in Iraqi pregnant women: a pilot study
- Clinical characteristics and outcome of twin pregnancies complicated by single intrauterine death
- Utility of routine urine CMV PCR and total serum IgM testing of small for gestational age infants: a single center review
- The association between pre-pregnancy obesity and screening results of depression for all trimesters of pregnancy, postpartum and 1 year after birth: a cohort study
- Original articles – Fetus
- Causes of intrauterine fetal death are changing in recent years
- Original articles – Newborn
- Proactive approach at the limits of viability improves the short-term outcome of neonates born after 23 weeks’ gestation
- Letter to the Editor
- Exact days of gestation necessary for infants at borderline viability: reply to Proactive approach at the limits of viability improves the short-term outcome of neonates born after 23weeks’ gestation. P. Šimják, J. Smíšek, M. Koucký, T. Lamberská, R. Plavka and Z. Hájek. J Perinat Med 2017
