[Obstetric hemorrhage control Bakri balloon].

Abstract

BACKGROUND:

Obstetric hemorrhage is the second leading cause of maternal death in Mexico. Intrauterine tamponades are a valuable resource for the limitation of bleeding.

OBJECTIVE:

Analyze the success rate of the Bakri balloon in the control of obstetric hemorrhage and calculate the fill volume with clinical parameters.

MATERIAL AND METHODS:

Descriptive, retrospective and observational study Subjects were included who presented refractory hemorrhage on administration of uterotonics (postpartum, caesarean section, post-caesarean section, and post-miscarriage); a Bakri balloon was inserted with epidural anesthesia. The procedure was considered successful where there was immediate cessation of hemorrhage without recurrence. The fill volume in milliliters (FV) was analyzed with a linear regression that included gestational age in weeks (GA) and neonatal weight in grams (NW).

RESULTS:

The study included 35 subjects: 20 postpartum (57.1%), 10 caesarean and post-caesarean section (28.5%), and 5 post-miscarriage (14.2%). Use of the Bakri balloon was successful in 33 cases (94.2%). Unsuccessful cases involved subinvolution of the placental site and placenta accreta. Fill volume correlated with gestational age (r=0.50, p=0.001) and with neonatal weight (r=0.47, p=0.002). The linear regression equation for calculation of the fill volume is FV = 150 + (4.3 x GA) + (0.03 x NW), (p = 0.003).

CONCLUSION:

Use of the Bakri balloon is safe, simple, and effective; we encountered no adverse reactions in this study. The procedure can be carried out after delivery or miscarriage or during or after a caesarean section.

• Authors: Verónica María de Jesús Ortega-Castillo, Salvador Espino y Sosa, Tomás Herrerías-Canedo
• Journal: Ginecologia y obstetricia de Mexico (Ginecol Obstet Mex) Vol. 81 Issue 8 Pg. 435-9 (Aug 2013) ISSN: 0300-9041 [Print] Mexico
• Vernacular Title: Control de la hemorragia obstétrica con balón de Bakri.
• PMID: 24049972 (Publication Type: English Abstract, Journal Article)

Topics

• Adolescent
• Adult
• Female
• Humans
• Postpartum Hemorrhage (prevention & control)
• Retrospective Studies
• Uterine Balloon Tamponade (instrumentation)
• Young Adult