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Reif, P; Walcher, W; Scholl, W; Lang, U.
Management of Postpartum Hemorrhage: Report of Five Cases Using the Bakri Balloon
GEBURTSH FRAUENHEILK. 2011; 71(5): 394-398. Doi: 10.1055/s-0030-1271076
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Leading authors Med Uni Graz: Reif Philipp
Co-authors Med Uni Graz: Lang Uwe; Schöll Wolfgang; Walcher Wolfgang
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Abstract:: Background/Purpose: Postpartum hemorrhage is a major complication. It is associated with a high maternal mortality and morbidity worldwide. In addition to reducing the number of maternal deaths, the main focus of obstetrical management is to prevent hysterectomies. If pharmacotherapy does not lead to success, the Bakri balloon - an intrauterine tamponade system - is an additional tool which can be used to achieve hemostasis. Aims: We report here on our first year experiences with the Bakri balloon in an obstetrical setting. Materials and Methods: A retrospective analysis was done of all patients treated with the Bakri balloon after not responding to conservative therapy. Results: Four cases of primary postpartum hemorrhage and one case of secondary postpartum hemorrhage were reviewed. Hemostasis was successfully achieved with the balloon in all cases of bleeding in the lower uterine segment. In one case of uterine atony the balloon was insufficient. The overall success rate was high. Conclusion: If an accurate diagnosis is present primarily bleeding in the lower uterine segment and placenta disorders - the Bakri balloon can be an effective tool to manage postpartum hemorrhage. The Bakri balloon can be used in addition to pharmaceutical therapy to achieve hemostasis. Use of the balloon may prevent further surgical events including hysterectomies.
Find related publications in this database (Keywords): Bakri balloon; postpartum hemorrhage; conservative management; intrauterine tamponade