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

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

Risultato della ricerca: Contributo in rivistaArticolo in rivista

16 Citazioni (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.
Lingua originaleEnglish
pagine (da-a)1603-1610
Numero di pagine8
RivistaTHE JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH
Volume2014/40
DOI
Stato di pubblicazionePubblicato - 2014

Keywords

  • Adult
  • Female
  • Fertility
  • Follow-Up Studies
  • Humans
  • Obstetrics and Gynecology
  • Postpartum Hemorrhage
  • Pregnancy
  • Pregnancy Rate
  • Prospective Studies
  • Uterine Balloon Tamponade
  • balloon tamponade
  • placenta accreta
  • placenta previa
  • post-partum hemorrhage
  • uterine atony

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