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Efficacy of Bakri Balloon Tamponade in Massive Postpartum Hemorrhage: A Series of 57 Cases

Authors
 Ha Yan Kwon  ;  Young-Han Kim  ;  Yong-Won Park  ;  Ja-Young Kwon 
Citation
 Korean Journal of Perinatology (대한주산의학회잡지), Vol.27(4) : 236-243, 2016 
Journal Title
 Korean Journal of Perinatology  (대한주산의학회잡지) 
ISSN
 1229-2605 
Issue Date
2016
Keywords
Bakri balloon ; Massive postpartum hemorrhage ; Intrauterine tamponade
Abstract
Purpose : To evaluate the efficacy of intrauterine Bakri balloon tamponade as a management of massive postpartum hemorrhage (PPH). Methods : Retrospective study including women who underwent intrauterine Bakri balloon tamponade for massive PPH between April 2010 and July 2015 was conducted. Massive PPH was defined as estimated blood loss exceeding 1,500 mL. Bakri balloon was inserted into uterus if women had PPH despite medical treatment after vaginal delivery or cesarean section. The balloon was inflated with sterile saline and removed after 12-24 hours. Failure was defined as needing another procedure for hemorrhage control. Demographic, obstetric and specific factors in regard to the Bakri balloon use were recorded. The successful rate of hemostasis by Bakri balloon was evaluated. Results : Among 138 women with PPH managed Bakri balloon insertion, 57 patients were diagnosed with massive PPH. The most common cause of massive PPH was placenta previa without accreta (54.4%), uterine atony (33.3%), placenta previa with accreta (10.5%) and placenta accreta (1.8%). The mean estimated blood loss was 2279.0 mL (range, 1,500-6,500 mL). The rate of successful control of massive PPH after Bakri balloon placement was 82.5%. From the cases of 57 patients, 10 patients needed additional procedures; five required uterine artery embolization and five underwent cesarean hysterectomy. No short-term complications or maternal death were observed after Bakri balloon insertion. Conclusion : Bakri balloon tamponade is an effective, simple and quick approach in the treatment of massive PPH and it is useful as complementary management for earning time for another procedure.
Files in This Item:
T201606382.pdf Download
DOI
10.14734/PN.2016.27.4.236
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
권자영(Kwon, Ja Young) ORCID logo https://orcid.org/0000-0003-3009-6325
권하얀(Kwon, Ha Yan)
김영한(Kim, Young Han) ORCID logo https://orcid.org/0000-0003-0645-6028
박용원(Park, Yong Won)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/153110
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