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Cited 18 times in

Efficacy of Intrauterine Bakri Balloon Tamponade in Cesarean Section for Placenta Previa Patients

DC FieldValueLanguage
dc.contributor.author권자영-
dc.contributor.author김영한-
dc.contributor.author박용원-
dc.contributor.author정인경-
dc.contributor.author조희영-
dc.date.accessioned2016-02-04T11:37:32Z-
dc.date.available2016-02-04T11:37:32Z-
dc.date.issued2015-
dc.identifier.issn1932-6203-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/140838-
dc.description.abstractPURPOSE: The aims of this study were to analyze the predictive factors for the use of intrauterine balloon insertion and to evaluate the efficacy and factors affecting failure of uterine tamponade with a Bakri balloon during cesarean section for abnormal placentation. METHODS: We reviewed the medical records of 137 patients who underwent elective cesarean section for placenta previa between July 2009 and March 2014. Cesarean section and Bakri balloon insertion were performed by a single qualified surgeon. The Bakri balloon was applied when blood loss during cesarean delivery exceeded 1,000 mL. RESULTS: Sixty-four patients (46.7%) required uterine balloon tamponade during cesarean section due to postpartum bleeding from the lower uterine segment, of whom 50 (78.1%) had placenta previa totalis. The overall success rate was 75% (48/64) for placenta previa patients. Previous cesarean section history, anterior placenta, peripartum platelet count, and disseminated intravascular coagulopathy all significantly differed according to balloon success or failure (all p<0.05). The drainage amount over 1 hour was 500 mL (20-1200 mL) in the balloon failure group and 60 mL (5-500 mL) in the balloon success group (p<0.01). CONCLUSION: Intrauterine tamponade with a Bakri balloon is an adequate adjunct management for postpartum hemorrhage following cesarean section for placenta previa to preserve the uterus. This method is simple to apply, non-invasive, and inexpensive. However, possible factors related to failure of Bakri balloon tamponade for placenta previa patients such as prior cesarean section history, anterior placentation, thrombocytopenia, presence of DIC at the time of catheter insertion, and catheter drainage volume more than 500 mL within 1 hour of catheter placement should be recognized, and the next-line management should be prepared in advance.-
dc.description.statementOfResponsibilityopen-
dc.format.extente0134282-
dc.relation.isPartOfPLoS One-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHCesarean Section*-
dc.subject.MESHDisease Management-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHPlacenta Previa/diagnosis-
dc.subject.MESHPlacenta Previa/therapy*-
dc.subject.MESHPostpartum Hemorrhage/etiology*-
dc.subject.MESHPostpartum Hemorrhage/therapy*-
dc.subject.MESHPregnancy-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHSeverity of Illness Index-
dc.subject.MESHTreatment Failure-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHUterine Balloon Tamponade*-
dc.titleEfficacy of Intrauterine Bakri Balloon Tamponade in Cesarean Section for Placenta Previa Patients-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Biostatistics (의학통계학)-
dc.contributor.googleauthorHee Young Cho-
dc.contributor.googleauthorYong Won Park-
dc.contributor.googleauthorYoung Han Kim-
dc.contributor.googleauthorInkyung Jung-
dc.contributor.googleauthorJa Young Kwon-
dc.identifier.doi10.1371/journal.pone.0134282-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00246-
dc.contributor.localIdA00730-
dc.contributor.localIdA01581-
dc.contributor.localIdA03693-
dc.contributor.localIdA03944-
dc.relation.journalcodeJ02540-
dc.identifier.pmid26263014-
dc.contributor.alternativeNameKwon, Ja Young-
dc.contributor.alternativeNameKim, Young Han-
dc.contributor.alternativeNamePark, Yong Won-
dc.contributor.alternativeNameJung, In Kyung-
dc.contributor.alternativeNameCho, Hee Young-
dc.contributor.affiliatedAuthorKwon, Ja Young-
dc.contributor.affiliatedAuthorKim, Young Han-
dc.contributor.affiliatedAuthorPark, Yong Won-
dc.contributor.affiliatedAuthorJung, In Kyung-
dc.contributor.affiliatedAuthorCho, Hee Young-
dc.rights.accessRightsfree-
dc.citation.volume10-
dc.citation.number8-
dc.citation.startPagee0134282-
dc.identifier.bibliographicCitationPLoS One, Vol.10(8) : e0134282, 2015-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers

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