CT scan assessment of intrauterine balloon tamponade failure for the treatment of atonic postpartum hemorrhage: implications for treatment

Author(s):  
Eiji Kondoh ◽  
Yoshitsugu Chigusa ◽  
Akihiko Ueda ◽  
Haruta Mogami ◽  
Ken Yamaguchi ◽  
...  
2018 ◽  
Vol 8 (6) ◽  
pp. 178-183
Author(s):  
Dinh Nguyen Gia ◽  
Thanh Cao Ngoc

Background: Postpartum hemorrhage (PPH) remains a significant contributor to maternal morbility and mortality and accounts for 31% of maternal death in Vietnam. The most common cause of PPH is uterine atony. Recently, uterine tamponade using intrauterine condom appears to be an effective tool in the management of intractable PPH. Objectives: To evaluate the success of condom as a tamponade to arrest intractable PPH due to uterine atony in patients not responding to medical management. Materials and Methods: The study was designed as a cross-sectional and descriptive, included 32 patients who underwent condom balloon tamponade at Kontum Provincial Hospital from 1/2012 to 8/2016. Results: 32 women (mean age 25.71 ± 6.45 years range, 16 - 39) underwent condom balloon tamponade for PPH controls. 29 patients (90.62%) successfully responded the tamponade therapy by the use of condom catheter. Three patients (9.37%) required hysterectomy. Conclusions: Condom catheter balloon effectively controls the intractable PPH due to uterine atony. Key words: PPH (Pospartum hemorrhage), Tamponade, Condom catheter balloon, Uterine atony


2020 ◽  
Vol 222 (4) ◽  
pp. 293.e1-293.e52 ◽  
Author(s):  
Sebastian Suarez ◽  
Agustin Conde-Agudelo ◽  
Anderson Borovac-Pinheiro ◽  
Daniela Suarez-Rebling ◽  
Melody Eckardt ◽  
...  

2014 ◽  
Vol 34 (2) ◽  
pp. 106
Author(s):  
M. Grönvall ◽  
M. Tikkanen ◽  
E. Tallberg ◽  
J. Paavonen ◽  
V. Stefanovic

2007 ◽  
Vol 24 (6) ◽  
pp. 359-364 ◽  
Author(s):  
Victor Dabelea ◽  
Peter Schultze ◽  
Robert McDuffie

2022 ◽  
Vol 226 (1) ◽  
pp. S716
Author(s):  
Rachel P. Gerber ◽  
Monique De Four Jones ◽  
Michael Nimaroff ◽  
Burton Rochelson ◽  
Moti Gulersen

2018 ◽  
Vol 131 (1) ◽  
pp. 143-149 ◽  
Author(s):  
Mathilde Revert ◽  
Patrick Rozenberg ◽  
Jonathan Cottenet ◽  
Catherine Quantin

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
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. Despite oxytocin infusion and bimanual uterine compression, the total blood loss was estimated at 2,800 mL or more. The second case was diagnosed as placental abruption complicated by fetal death and severe disseminated intravascular coagulation, subsequently. A profuse hemorrhage continued despite administration of uterotonics, fluid, and blood transfusion. The total blood loss was more than 5,000 mL. In each case, an intrauterine balloon catheter was wrapped in gauze impregnated with tranexamic acid, inserted into the uterus, and inflated sufficiently with sterile water. In this way, mechanical compression by a balloon and a topical antifibrinolytic agent were combined together. This method brought complete hemostasis and no further treatments were needed. Both the women left hospital in stable condition.


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