Use of an intrauterine inflated catheter balloon in massive post-partum hemorrhage: a series of 52 cases.

Sara De Carolis, Sergio Ferrazzani, Silvia Salvi, Angela Botta, Sascia Moresi, Valentina Anna Degennaro, Stefania Santucci

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

AIM: Massive post-partum hemorrhage (PPH) is an important cause of maternal death that occurs as a complication of delivery. We report a large case series to evaluate the efficacy of uterine balloon tamponade to treat PPH avoiding hysterectomy. MATERIAL AND METHODS: This prospective study was conducted in two Italian hospitals (from December 2002 to July 2012). Fifty-two patients with PPH not responsive to uterotonics were treated by Rusch balloon. A follow-up was conducted among the study population to assess the subsequent fertility. RESULTS: The most frequent cause of PPH was atony (59.6%), followed by placenta previa (21.2%), placenta accreta (9.6%), and placenta previa and accreta (9.6%). The balloon success rate to control hemorrhage was 75%. From the sample of 52 patients, 13 patients needed additional procedures. In three failure cases, other conservative techniques were used and the overall effectiveness of them was 80.7%. The follow-up group consisted of 31 women. Of these women, 24 women (77.4%) had no further pregnancies, but only one due to sterility. Four of seven patients with subsequent pregnancies made it to term without complications. CONCLUSIONS: The Rusch balloon is effective in controlling non-traumatic PPH in 75% of cases. It is simple to use, readily available and cheap. If necessary, this technique does not exclude other procedures. We suggest that this balloon should be included routinely in the PPH protocol.
Original languageEnglish
Pages (from-to)1603-1610
Number of pages8
JournalTHE JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH
Publication statusPublished - 2014

Keywords

  • intrauterine balloon
  • post partum hemorrhage

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