Abstract
Background: To acquire a better understanding of application effect, advantages and disadvantages of Bakri balloon tamponade in treatment of postpartum hemorrhage, and explore the appropriate pathological occasion and optimal timing for placing Bakri balloon.Methods: A retrospective study which used Bakri balloon for postpartum hemorrhage was conducted from January 1, 2016 to December 31, 2019 in our hospital .Results: There were 169 patients who treated with Bakri balloon tamponade, no detachment occurred after Bakri balloon cervical forceps clipped with toothless oval forceps. There were 148 cases of successful balloon tamponade hemostasis, accounting for 87.6%，and 21 failure cases, accounting for 12.4%. The failure rate of balloon tamponade hemostasis significantly increased in the case of over 1500ml bleeding. In the failure group, placental adhesion and accreta accounted for 57.1% (12/21), and placental implantation was found an important factor causing balloon tamponade hemostasis failure.Conclusion: Cervical forceps clipped with toothless oval forceps can effectively prevent the failure of hemostasis due to balloon prolapse. When postpartum hemorrhage reaches 1500ml and/or placenta accreta is carried out, failure rate of balloon tamponade hemostasis will increase significantly. Nevertheless, it could be used as a temporary measure for less hemorrhage volume and more time toward further treatment.
Use of Bakri balloon tamponade in the treatment of postpartum hemorrhage: a series of 50 cases from a tertiary teaching hospital
