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uterine tamponade

A K Aderoba, B N Olagbuji, A L Akintan, O L Oyeneyin, O O Owa, J A Osaikhuwuomwan
OBJECTIVE: To determine the outcomes and factors associated with postpartum haemorrhage (PPH) treatment with condom-catheter uterine balloon tamponade (C-UBT). DESIGN: Prospective observational study. SETTING: A secondary healthcare facility in Nigeria. POPULATION: Women with PPH refractory to first-line treatment. METHODS: Demographic and clinical characteristics were compared in women with successful and unsuccessful treatment...
October 11, 2016: BJOG: An International Journal of Obstetrics and Gynaecology
Jeevan Prasanga Marasinghe
No abstract text is available yet for this article.
October 2016: Obstetrics and Gynecology
Loïc Sentilhes, Stéphanie Brun, Hugo Madar, Benjamin Merlot
No abstract text is available yet for this article.
October 2016: Obstetrics and Gynecology
Haywood Brown, Stephen Okeyo, Hillary Mabeya, Jeffrey Wilkinson, John Schmitt
OBJECTIVE: To evaluate the Bakri tamponade balloon as an adjunct treatment for refractory postpartum hemorrhage (PPH). METHODS: A prospective observational intervention study was conducted between January 1, 2013, and May 31, 2015, at Great Lakes Hospital and Moi Teaching and Referral Hospital in Kenya. Eligible participants were diagnosed with PPH (blood loss >500mL after vaginal or >1000mL after cesarean delivery, and/or hemodynamic changes suggestive of excessive blood loss) unresponsive to standard intervention and were treated using the Bakri balloon...
August 25, 2016: International Journal of Gynaecology and Obstetrics
Mohamed Kandeel, Zakaria Sanad, Hamed Ellakwa, Alaa El Halaby, Mohamed Rezk, Ibrahim Saif
OBJECTIVE: To evaluate uterine balloon tamponade using a condom catheter for the management of early postpartum hemorrhage (PPH). METHODS: In a prospective observational study at Menoufia University Hospital, Shebin Elkom, Egypt, women with early PPH were enrolled between May 2011 and September 2012. Uterine balloon tamponade with a condom catheter was applied in women who were unresponsive to uterotonics and bimanual compression; patients with successful catheter placement were included in analyses...
August 21, 2016: International Journal of Gynaecology and Obstetrics
Abirami Natarajan, Anna Alaska Pendleton, Brett D Nelson, Roy Ahn, Monica Oguttu, Lidu Dulo, Melody J Eckardt, Thomas F Burke
OBJECTIVE: To understand healthcare providers' experiences with improvised uterine balloon tamponade (UBT) for the management of uncontrolled postpartum hemorrhage (PPH). METHODS: In a qualitative descriptive study, in-depth semi-structured interviews were conducted between November 2014 and June 2015 among Kenyan healthcare providers who had previous experience with improvising a UBT device. Interviews were conducted, audio-recorded, and transcribed. RESULTS: Overall, 29 healthcare providers (14 nurse-midwifes, 7 medical officers, 7 obstetricians, and 1 clinical officer) were interviewed...
November 2016: International Journal of Gynaecology and Obstetrics
G Justus Hofmeyr, Zahida Qureshi
Prevention of deaths from obstetric haemorrhage requires effective health systems including family planning, commodities, personnel, infrastructure and ultimately universal access to comprehensive obstetric care for women giving birth. The main causes of death associated with antepartum haemorrhage are placental abruption, placenta praevia and uterine rupture. Preventive measures include preconceptual folate supplementation, management of hypertensive disorders, early diagnosis of placenta praevia and use of uterine stimulants cautiously, particularly misoprostol...
June 23, 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
Baris Kaya, Zeki Damarer, Korkut Daglar, Orhan Unal, Amr Soliman, Onur Guralp
PURPOSE: To evaluate the success rates and subsequent fertility outcomes of internal iliac artery ligation (IIAL) in uterine atony (primary ligated and secondary added to other uterus sparing techniques), retroperitoneal hematoma, and placenta adherent abnormalities. MATERIAL AND METHODS: Fifty two women who underwent IIAL for different causes of postpartum hemorrhage were retrospectively evaluated. RESULTS: Among 26 women with intractable uterine atony, 12 had primary, and 14 secondary IIAL, due to ongoing bleeding following the B-Lynch suture or the Bakri balloon tamponade...
August 18, 2016: Journal of Maternal-fetal & Neonatal Medicine
Moeun Son, Brett D Einerson, Patrick Schneider, Ian C Fields, William A Grobman, Emily S Miller
Objective Determine whether the indication for intrauterine balloon tamponade (IUBT) is associated with failure rates. Study Design Cohort study of women who underwent IUBT for postpartum hemorrhage (PPH) from 2007 to 2014. The indication was categorized as uterine atony or placental-site bleeding. Primary outcome was IUBT failure, defined as the need for uterine artery embolization or hysterectomy. Secondary outcomes were estimated blood loss (EBL) after balloon placement, transfusion of red blood cells (RBC), transfusion of fresh frozen plasma (FFP) and/or cryoprecipitate, and intensive care unit (ICU) admission...
July 1, 2016: American Journal of Perinatology
Anderson Lo, Peter St Marie, Parul Yadav, Elizabeth Belisle, Glenn Markenson
OBJECTIVE: Our objective was to evaluate the impact of uterine tamponade with a Bakri balloon on the rate of postpartum hysterectomy due to uterine atony. METHODS: We performed a retrospective cohort study of all deliveries >20 weeks gestation from January 2002 to March 2013 at Baystate Medical Center. Charts were reviewed to determine incidence of postpartum hysterectomy, Bakri balloon placement, uterine artery embolization (UAE) and the B-Lynch procedure. Patients with evidence of placenta accreta were excluded...
July 29, 2016: Journal of Maternal-fetal & Neonatal Medicine
Yuditiya Purwosunu, Widyastuti Sarkoen, Sabaratnam Arulkumaran, Jan Segnitz
BACKGROUND: Postpartum hemorrhage is the leading cause of maternal mortality worldwide. Vacuum-induced uterine tamponade is a possible alternative approach to balloon tamponade systems for the treatment of postpartum hemorrhage resulting from atony. METHOD: In a prospective proof-of-concept investigation of 10 women with vaginal deliveries in a hospital setting who failed first-line therapies for postpartum hemorrhage, tamponade was used. Vacuum-induced uterine tamponade was created through a device inserted transvaginally into the uterine cavity...
July 2016: Obstetrics and Gynecology
H K Ahmadzia, S M Thomas, A P Murtha, R P Heine, L R Brancazio
OBJECTIVE: To evaluate experiences related to obstetric hemorrhage and suspected abnormal placentation among first year maternal-fetal medicine fellows. STUDY DESIGN: A cross-sectional anonymous survey was administered at the Society for Maternal-Fetal Medicine fellow retreat in March 2013. Fellows were asked about management strategies that reflected both their individual and institutional practices. RESULTS: There was a 56% response rate (55/98)...
May 17, 2016: Journal of Neonatal-perinatal Medicine
S Kadija, A Stefanovic, K Jeremic, M Radojevic, R Cerovic-Popovic, M Srbinovic, I Likic-Ladjevic
BACKGROUND: Cervical ectopic pregnancy is a potentially life-threatening condition due to the unexpected occurrence of uncontrollable bleeding from the cervix. CASE REPORT: A 39-year-old secundigravida was admitted with amenorrhea of 12 weeks and four days due to suspected cervical pregnancy, without bleeding. The ultrasonography revealed a gestational sac at the anterior wall of the isthmic-cervical part with a single viable fetus, with crown-rump length (CRL) of 59 mm and regular heart rate...
2016: Clinical and Experimental Obstetrics & Gynecology
A J Vivanti, E Furet, J Nizard
Acute puerperal inversion of the uterus is a rare life-threatening obstetric emergency, especially during caesarean section. We present the case of a 30-year-old patient with acute puerperal inversion of the uterus that occurred during placental removal. After a quick reversion of the uterus, an immediate postpartum haemorrhage (PPH) due to massive uterine atony was observed. This atony impacted the whole uterus, with a very thin uterine myometrium. The use of a Bakri Tamponade Balloon use allowed treating extreme uterine atony, immediately stop haemorrhage, and prevent a possible risk of immediate recurrence...
April 22, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Abirami Natarajan, Jennifer Kamara, Roy Ahn, Brett D Nelson, Melody J Eckardt, Anne Marie Williams, Samuel A Kargbo, Thomas F Burke
OBJECTIVE: To understand healthcare providers' experience of incorporating uterine balloon tamponade (UBT) into the national postpartum hemorrhage (PPH) clinical pathway after UBT training. METHODS: In a qualitative study, semi-structured interviews were undertaken with healthcare providers from 50 centers in Freetown, Sierra Leone, between May and June 2014. All eligible healthcare providers (undergone UBT training, actively conducted deliveries, and treated cases of PPH since UBT training) on duty at the time of center visit were interviewed...
July 2016: International Journal of Gynaecology and Obstetrics
Nozomi Higashiyama, Eiji Kondoh, Akihiko Ueda, Tsukasa Baba, Haruta Mogami, Kaoru Kawasaki, Yoshitsugu Chigusa, Ikuo Konishi
No abstract text is available yet for this article.
March 22, 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Sayori Nagai, Hiroaki Kobayashi, Tomomi Nagata, Sayuri Hiwatashi, Toshihiko Kawamura, Daisaku Yokomine, Yuji Orita, Toshimichi Oki, Mitsuhiro Yoshinaga, Tsutomu Douchi
Intrauterine globe-shaped metreurynter tamponade has been used for some time to treat massive postpartum hemorrhage (PPH). More recently, the Bakri balloon has come into use to treat PPH. It is made of silicon, possesses a drainage lumen, and has a sausage-like spindle shape. The aim of the present study was to investigate the clinical usefulness of Bakri balloon tamponade for massive PPH. Subjects in the present study comprised 5 patients with uterine atony, 3 with placenta previa, and 2 with low-lying placenta...
2016: Kurume Medical Journal
Ernest T Maya, Kennedy A Buntugu, Lovelace Aki, Emmanuel K Srofenyoh
Postpartum haemorrhage is one of the major causes of maternal mortality worldwide. The leading cause of primary postpartum haemorrhage is uterine atony and active management of the third stage of labour with oxytocin is recommended for preventing primary postpartum haemorrhage. Parenteral oxytocin is also the drug of choice for medical management of postpartum haemorrhage secondary to uterine atony. Condom uterine balloon tamponade is .a low cost technique that can be used as a second-line option for treatment...
September 2015: African Journal of Reproductive Health
Nila A Sathe, Frances E Likis, Jessica L Young, Alicia Morgans, Daphne Carlson-Bremer, Jeff Andrews
IMPORTANCE: Postpartum hemorrhage (PPH) is one of the leading causes of maternal mortality and morbidity worldwide. OBJECTIVE: The aim of this study was to systematically review literature on procedures (eg, uterine artery embolization) and uterine-sparing surgeries for PPH. EVIDENCE ACQUISITION: We searched MEDLINE and other databases from 1990 to November 2014. Two reviewers independently evaluated studies against predetermined criteria, extracted data, and assessed study quality and strength of the evidence (confidence in the effect)...
February 2016: Obstetrical & Gynecological Survey
Anna Alaska Pendleton, Abirami Natarajan, Roy Ahn, Brett D Nelson, Melody J Eckardt, Thomas F Burke
No abstract text is available yet for this article.
April 2016: International Journal of Gynaecology and Obstetrics
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