Efficacy of Bakri Balloon placement in early Management of Post-partum Hemorrhage
European Journal of Molecular & Clinical Medicine,
2023, Volume 10, Issue 3, Pages 1495-1503
AbstractPost-partum haemorrhage (PPH), an obstetric emergency that can complicate vaginal or caesarean deliveries & is associated with serious complications. Guidelines for the management of PPH involve a stepwise escalation of pharmacological & surgical approaches. In women who do not respond to uterotonics or medical treatment, a variety of procedures, such as uterine artery embolization, stepwise de-vascularization or obstetric hysterectomy, may be used. The Bakri balloon is an intrauterine device indicated to reduce or control PPH temporarily when conservative treatment is warranted. Here, we are presenting case series of primary atonic PPH & which were managed by Bakri Balloon Tamponade (BBT).
This case series included 91 women with PPH managed by Bakri balloon as a conservative therapeutic option. All 91 women were in age group between 19 years to 34 years. The causes of PPH were uterine atony, retained placenta & central placenta previa. The Bakri balloon was successful in controlling haemorrhage in 87 women (90.1%) who did not respond to medical management of PPH.
Bakri balloon is a simple, easy to use & effective method for conservative management of acute PPH. This device reduces bleeding, shortens the hospital stay & avoids the need for more aggressive procedures such as stepwise devascularization & obstetric hysterectomy
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