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intrauterine tamponade

G J Hofmeyr
The general surgical principle of applying direct pressure at the site of haemorrhage has been applied in the treatment of postpartum haemorrhage (PPH) by means of an assortment of inflatable devices introduced into the uterine cavity. Over the last 23 years several reports and reviews in the BJOG and elsewhere have documented the apparent effectiveness of uterine balloon tamponade (UBT) for treatment of PPH. A large study in 2016 reported a success rate after vaginal delivery of 89% (152/171) and concluded that intrauterine balloon tamponade is an effective method for treating severe PPH...
July 10, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
Brett D Einerson, Moeun Son, Patrick Schneider, Ian Fields, Emily S Miller
BACKGROUND: Intrauterine balloon tamponade is an effective treatment for postpartum hemorrhage when first-line treatments fail. The optimal duration of intrauterine balloon tamponade for management of postpartum hemorrhage is unclear. OBJECTIVE: The objective of the study was to determine whether intrauterine balloon tamponade removal >12 hours of duration is associated with postpartum hemorrhage-related clinical outcomes. STUDY DESIGN: This was a retrospective cohort study of women with postpartum hemorrhage from 2007 through 2014 who underwent intrauterine balloon tamponade...
March 2017: American Journal of Obstetrics and Gynecology
M Revert, J Cottenet, P Raynal, E Cibot, C Quantin, P Rozenberg
OBJECTIVE: To evaluate the effectiveness of intrauterine balloon tamponade (IUBT) for management of severe postpartum haemorrhage (PPH). To identify the factors predicting IUBT failure. DESIGN: Prospective cohort study. SETTING: Ten maternity units in a perinatal network. POPULATION: Women treated by IUBT from July 2010 to March 2013. METHODS: The global IUBT success rate was expressed as the number of women with severe PPH who were successfully treated by IUBT divided by the total number treated by IUBT...
July 2017: BJOG: An International Journal of Obstetrics and Gynaecology
Rakesh Hasabe, Kumud Gupta, Pallavi Rathode
INTRODUCTION: Conventionally postpartum hemorrhage (PPH) has been defined as blood loss of more than 500 ml following vaginal delivery and 1000 ml following a cesarean section [Pritchard et al. in Am J Obstet Gynecol 84(10):1271-1282, (1962)]. Another definition labels PPH as any blood loss which causes a 10 % drop in hematocrit [Combs et al. in Obstet Gynecol 77:69-76, (1991)] or which threatens the hemodynamic stability of the patient and necessitates blood transfusion [Prendiville et al...
October 2016: Journal of Obstetrics and Gynaecology of India
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...
December 2016: International Journal of Gynaecology and Obstetrics
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...
January 2017: American Journal of Perinatology
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
Loïc Sentilhes, Christophe Vayssière, Catherine Deneux-Tharaux, Antoine Guy Aya, Françoise Bayoumeu, Marie-Pierre Bonnet, Rachid Djoudi, Patricia Dolley, Michel Dreyfus, Chantal Ducroux-Schouwey, Corinne Dupont, Anne François, Denis Gallot, Jean-Baptiste Haumonté, Cyril Huissoud, Gilles Kayem, Hawa Keita, Bruno Langer, Alexandre Mignon, Olivier Morel, Olivier Parant, Jean-Pierre Pelage, Emmanuelle Phan, Mathias Rossignol, Véronique Tessier, Frédéric J Mercier, François Goffinet
Postpartum haemorrhage (PPH) is defined as blood loss ≥500mL after delivery and severe PPH as blood loss ≥1000mL, regardless of the route of delivery (professional consensus). The preventive administration of uterotonic agents just after delivery is effective in reducing the incidence of PPH and its systematic use is recommended, regardless of the route of delivery (Grade A). Oxytocin is the first-line prophylactic drug, regardless of the route of delivery (Grade A); a slowly dose of 5 or 10 IU can be administered (Grade A) either IV or IM (professional consensus)...
March 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Rajni Lohano, Gulfishan Haq, Sarah Kazi, Saima Sheikh
OBJECTIVE: To evaluate the effectiveness of balloon temponade in the management of postpartum haemorrhage. METHODS: The study was conducted at the Dow University of Health Sciences and Civil Hospital Karachi from January to July 18, 2012, and comprised women aged 18-35 years, parity 1-6 and gestational age 31-41 weeks, who developed or were admitted with primary postpartum haemorrhage due to uterine atony in whom medical treatment had failed. SPSS 10 was used to analyse the data...
January 2016: JPMA. the Journal of the Pakistan Medical Association
Sergey V Barinov, Yakov G Zhukovsky, Vladimir T Dolgikh, Irina V Medyannikova
OBJECTIVE: The aim of this trial was to evaluate the performance of a combined strategy of postpartum haemorrhage management, based upon thromboelastographic (TEG) assessment of coagulation, early surgical haemostasis and mechanical compression of the uterine wall combined with uterine cavity draining, via intrauterine balloon tamponade (BT). METHODS: We carried out an open controlled trial, which included 119 women with obstetric haemorrhage (main group - combined strategy: n = 90, control group - conventional strategy: n = 29)...
January 2017: Journal of Maternal-fetal & Neonatal Medicine
Robert Rydze, Kamilah Dixon, Jocelyn T Greely, Shannon M Hawkins
BACKGROUND: Postabortion hemorrhage occurs in up to 2% of second-trimester pregnancy terminations. Postabortion hemorrhage is the leading cause of postabortion maternal mortality. We report the successful use of an obstetric balloon for second-trimester postabortion hemorrhage complicated by disseminated intravascular coagulation. CASE: A 38-year-old multigravid woman presented with hypovolemic shock from disseminated intravascular coagulation after second-trimester termination of an anomalous fetus...
November 2015: Obstetrics and Gynecology
Puyu Yang, Jun Zhang, Yanna Li, Hui Wang, Jun Zheng
OBJECTIVE: To evaluate the clinical characteristics of aortic dissection in pregnant patients with Marfan syndrome and the maternal and fetal outcomes in cardiovascular surgery. METHODS: Seven pregnant women with Marfan syndrome with aortic dissection were identified, who were treated in Beijing Anzhen Hospital Affiliated to Capital Medical University between January 2012 and September 2014. Patient charts were reviewed for cardiovascular surgery, occurrence of complications, clinical features and the maternal and fetal outcomes...
May 2015: Zhonghua Fu Chan Ke za Zhi
Hee Young Cho, Yong Won Park, Young Han Kim, Inkyung Jung, Ja-Young Kwon
PURPOSE: The aims of this study were to analyze the predictive factors for the use of intrauterine balloon insertion and to evaluate the efficacy and factors affecting failure of uterine tamponade with a Bakri balloon during cesarean section for abnormal placentation. METHODS: We reviewed the medical records of 137 patients who underwent elective cesarean section for placenta previa between July 2009 and March 2014. Cesarean section and Bakri balloon insertion were performed by a single qualified surgeon...
2015: PloS One
Emmanuelle Vintejoux, Daniela Ulrich, Eve Mousty, Florent Masia, Pierre Marès, Renaud de Tayrac, Vincent Letouzey
BACKGROUND: Post-partum haemorrhage (PPH) is one of the major obstetric complications and remains a cause of avoidable maternal mortality and morbidity. AIMS: The aims of this study were to assess the success and practicability of a Bakri™ balloon intrauterine tamponade for PPH and evaluate the predictive factors for success. MATERIALS AND METHODS: Women who received the Bakri™ balloon secondary to uterine atony and subsequent failure of routine drug treatment were identified at 6 hospital sites...
December 2015: Australian & New Zealand Journal of Obstetrics & Gynaecology
X M Qiao, L Bai, H Li, F Zhu
UNLABELLED: Vaginal bilateral cervical lips suture allows retention of intrauterine Foley catheter in women with a dilated cervix. This novel indication for vaginal bilateral cervix suture may be a useful adjunct to intrauterine balloon tamponade in the management of postpartum hemorrhage. OBJECTIVE: To describe an effective, minimally invasive surgical technique for avoiding intrauterine balloon tamponade prolapse. MATERIALS AND METHODS: This procedure was performed in the delivery room with or without bladder retraction...
2015: Clinical and Experimental Obstetrics & Gynecology
Philippe Laberge, Nicholas Leyland, Ally Murji, Claude Fortin, Paul Martyn, George Vilos, Nicholas Leyland, Wendy Wolfman, Catherine Allaire, Alaa Awadalla, Sheila Dunn, Mark Heywood, Madeleine Lemyre, Violaine Marcoux, Frank Potestio, David Rittenberg, Sukhbir Singh, Grace Yeung
BACKGROUND: Abnormal uterine bleeding (AUB) is the direct cause of a significant health care burden for women, their families, and society as a whole. Up to 30% of women will seek medical assistance for the problem during their reproductive years. OBJECTIVE: To provide current evidence-based guidelines on the techniques and technologies used in endometrial ablation (EA), a minimally invasive technique for the management of AUB of benign origin. METHODS: Members of the guideline committee were selected on the basis of individual expertise to represent a range of practical and academic experience in terms of both location in Canada and type of practice, as well as subspecialty expertise and general background in gynaecology...
April 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Wai Yoong, Katherine Andersen, Adewale Adeyemo, John Hamilton
No abstract text is available yet for this article.
October 2015: Acta Obstetricia et Gynecologica Scandinavica
Susan Halimeh
In women, von Willebrand disease (VWD) is the most common inherited bleeding disorder. Objectively, it is defined as bleeding that lasts for more than seven days or results in the loss of more than 80 mL of blood per menstrual cycle. The prevalence of menorrhagia in a woman with a bleeding disorder ranges from 32 to 100%. Postpartum hemorrhage (PPH) remains one of the leading causes of maternal morbidity and mortality worldwide. A treatment algorithm for severe persistent PPH was subsequently developed. These include mechanical or surgical maneuvers, i...
February 2015: Thrombosis Research
Masato Kinugasa, Hanako Tamai, Mayu Miyake, Takashi Shimizu
While uterine balloon tamponade is an effective modality for control of postpartum hemorrhage, the reported success rates have ranged from the level of 60% to the level of 80%. In unsuccessful cases, more invasive interventions are needed, including hysterectomy as a last resort. We developed a modified tamponade method and applied it to two cases of refractory postpartum hemorrhage after vaginal delivery. The first case was accompanied by uterine myoma and low-lying placenta. After an induced delivery, the patient had excessive hemorrhage due to uterine atony...
2015: Case Reports in Obstetrics and Gynecology
George A Vilos, Catherine Allaire, Philippe-Yves Laberge, Nicholas Leyland
OBJECTIVES: The aim of this guideline is to provide clinicians with an understanding of the pathophysiology, prevalence, and clinical significance of myomata and the best evidence available on treatment modalities. OPTIONS: The areas of clinical practice considered in formulating this guideline were assessment, medical treatments, conservative treatments of myolysis, selective uterine artery occlusion, and surgical alternatives including myomectomy and hysterectomy...
February 2015: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
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