Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Vintejoux, E; Ulrich, D; Mousty, E; Masia, F; Marès, P; de Tayrac, R; Letouzey, V.
Success factors for Bakri™ balloon usage secondary to uterine atony: a retrospective, multicentre study.
Aust N Z J Obstet Gynaecol. 2015; 55(6):572-577
Doi: 10.1111/ajo.12376
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Gold ehem Ulrich Daniela
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- Abstract:
- Post-partum haemorrhage (PPH) is one of the major obstetric complications and remains a cause of avoidable maternal mortality and morbidity. The aims of this study were to assess the success and practicability of a Bakri™ balloon intrauterine tamponade for PPH and evaluate the predictive factors for success. Women who received the Bakri™ balloon secondary to uterine atony and subsequent failure of routine drug treatment were identified at 6 hospital sites. Demographic, obstetric and specific factors in regard to the Bakri™ balloon use were recorded. Factors predictive of Bakri™ balloon success were evaluated. Intrauterine Bakri™ balloon tamponade was used in 36 women with uterine atony of which 28 received the balloon treatment after vaginal delivery: more than 50% of women (16/28) presented with PPH with blood loss > 1000 mL (mean blood loss: 1130 mL). Two balloon insertions failures were identified. Bakri balloon success was 100% for women with bleeding < 1000 mL. Twenty-five women (69%) did not require invasive treatment; seven (19%) required arterial embolisation and four (11%) surgical management. No short-term complication was observed after balloon insertion. The use of the Bakri™ balloon method, if undertaken early, is effective for the management of PPH with uterine atony (100% success compared to 69% overall success rate). Intrauterine balloon tamponade should included in PPH management guidelines. © 2015 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Blood Volume -
- Female -
- Humans -
- Postpartum Hemorrhage - etiology
- Postpartum Hemorrhage - therapy
- Pregnancy -
- Retrospective Studies -
- Risk Factors -
- Time-to-Treatment -
- Treatment Failure -
- Uterine Artery Embolization -
- Uterine Balloon Tamponade -
- Uterine Inertia - etiology
- Young Adult -
- Find related publications in this database (Keywords)
- post-partum haemorrhage
- Bakri (TM) balloon
- uterine atony
- intrauterine tamponade
- conservative treatment