Early Usage of Bakri Ballon in Managing Postpartum Hemorrhage

Launched by DONGYU WANG · Aug 9, 2016

Keywords

ClinConnect Summary

Data of 472 patients from 20 different hospitals had a Bakri balloon tamponade. Enrolled patients would follow the next process: assessment of blood loss intrapartum and 2 hours postpartum; laying the Bakri Balloon; assessment of blood loss, uterine contraction and complications after Bakri Balloon tamponade; further conservative surgical measures (uterine placation (B-lynch suture), arterial embolization; artery ligation; cervical cerclage) or even hysterectomy if necessary; recording the puerperium infection and involution of uterus.

Data were analyzed by SPSS 20.0 database. The results ...

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • Women with vaginal or cesarean delivery;
• • PPH caused by: Uterine Atony, Placenta Factors, Coagulation disorders, Hematological disorders, Hepatic diseases, Obstetric DIC;
• • Not reacting well to continuous uterine massage or uterotonic agents including oxytocin (0.04IU/L ivgtt to a maximum of 60IU), Hemabate (250-500ug im) and Duratocin (100ug iv);
• • Without other conservative surgical treatment(uterine compression suture, internal arterial embolism; vascular ligation);
• • Signing the informed consents;
• Exclusion Criteria:
• • Has undergone or will undergo conservative surgical treatment(uterine compression suture, international arterial embolism; artery ligation);
• • Impaired soft birth canal injury;
• • Untreated uterine deformity;
• • Definite indication for uterectomy.