Balloon tamponade for the management of postpartum uterine hemorrhage

Bariş Kaya, Abdullah Tuten, Korkut Daglar, Mesut Misirlioglu, Mesut Polat, Yusuf Yildirim, Orhan Unal, Gokhan Sami Kilic, Onur Guralp

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Objective: To evaluate the use of the Bakri balloon in postpartum hemorrhage (PPH) resistant to medical treatment. Methods: The Bakri balloon was applied to 45 women with PPH after failure of initial management. Bilateral internal iliac artery ligation (BIIAL) and hysterectomy were performed if necessary. Results: The Bakri balloon was applied in 45 women; an additional BIIAL was required in nine women. The mean inflation volume of the Bakri balloon was 571±264 mL (range: 240-1300 mL). Hemostasis was achieved in 34 (75.5%) women with the Bakri balloon alone, and in six women with an additional BIIAL. The Bakri balloon was effective with additional procedures overall in 40 of 45 (88.8%) women. In 34 women with uterine atony, the Bakri balloon was successful alone in 27 (79.4%) and with an additional BIIAL in 30 (88.2%) women. An inflation volume of >500 mL was necessary in 18 women with uterine atony. Conclusion: The Bakri balloon may be performed as a first line of treatment for PPH resistant to uterotonic agents, and can be used not only in tertiary centers but also in limited-resource centers. The inflation volume of the Bakri balloon should be adjusted according to the type of PPH; a volume exceeding 500 mL may be necessary in uterine atony.

Original languageEnglish (US)
Pages (from-to)745-753
Number of pages9
JournalJournal of perinatal medicine
Volume42
Issue number6
DOIs
StatePublished - Nov 1 2014

Keywords

  • Bakri balloon
  • inflation volume
  • postpartum hemorrhage
  • uterine atony

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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  • Cite this

    Kaya, B., Tuten, A., Daglar, K., Misirlioglu, M., Polat, M., Yildirim, Y., Unal, O., Kilic, G. S., & Guralp, O. (2014). Balloon tamponade for the management of postpartum uterine hemorrhage. Journal of perinatal medicine, 42(6), 745-753. https://doi.org/10.1515/jpm-2013-0336