Balloon tamponade for the management of postpartum uterine hemorrhage

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

Research output: Contribution to journalArticle

22 Citations (Scopus)

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

Fingerprint

Balloon Occlusion
Postpartum Hemorrhage
Uterine Hemorrhage
Iliac Artery
Uterine Inertia
Ligation
Economic Inflation
Hemostasis
Hysterectomy

Keywords

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

ASJC Scopus subject areas

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

Cite this

Kaya, B., Tuten, A., Daglar, K., Misirlioglu, M., Polat, M., Yildirim, Y., ... 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

Balloon tamponade for the management of postpartum uterine hemorrhage. / Kaya, Bariş; Tuten, Abdullah; Daglar, Korkut; Misirlioglu, Mesut; Polat, Mesut; Yildirim, Yusuf; Unal, Orhan; Kilic, Gokhan; Guralp, Onur.

In: Journal of Perinatal Medicine, Vol. 42, No. 6, 01.11.2014, p. 745-753.

Research output: Contribution to journalArticle

Kaya, B, Tuten, A, Daglar, K, Misirlioglu, M, Polat, M, Yildirim, Y, Unal, O, Kilic, G & Guralp, O 2014, 'Balloon tamponade for the management of postpartum uterine hemorrhage', Journal of Perinatal Medicine, vol. 42, no. 6, pp. 745-753. https://doi.org/10.1515/jpm-2013-0336
Kaya B, Tuten A, Daglar K, Misirlioglu M, Polat M, Yildirim Y et al. Balloon tamponade for the management of postpartum uterine hemorrhage. Journal of Perinatal Medicine. 2014 Nov 1;42(6):745-753. https://doi.org/10.1515/jpm-2013-0336
Kaya, Bariş ; Tuten, Abdullah ; Daglar, Korkut ; Misirlioglu, Mesut ; Polat, Mesut ; Yildirim, Yusuf ; Unal, Orhan ; Kilic, Gokhan ; Guralp, Onur. / Balloon tamponade for the management of postpartum uterine hemorrhage. In: Journal of Perinatal Medicine. 2014 ; Vol. 42, No. 6. pp. 745-753.
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