Abstract
ABSTRACTThe aim of this study was to explore the success rates of Bakri balloon placement in patients with placenta previa and uterine atony. In addition, we compared bilateral internal iliac artery ligation (B-IIAL) and Bakri balloon placement in terms of their ability to inhibit haemorrhage in postpartum placenta previa patients. The hospital reports filed annually from 2010 to 2015 were reviewed. In total, 54 patients were evaluated: 42 patients with placenta previa and uterine atony were treated with Bakri balloons, and 12 placenta previa patients with postpartum haemorrhage underwent B-IIAL when medical treatment failed. The results showed that the success rates of Bakri balloon placement rate in placenta previa and uterine atony patients were 71.4% and 89.2%, respectively. The comparative analysis of placenta previa patients treated via Bakri balloon placement and B-IIAL showed that the requirements for packed red blood cell and fresh frozen plasma, pre- and post-partum haemoglobin levels, pre- and post-partum platelet counts, and hospitalization times differed significantly between the two groups (all p < 0.05). Bakri balloon tamponade could be considered an effective treatment for placenta previa and uterine atony. The technique is minimally invasive and can serve as a second-line treatment for patients with postpartum haemorrhage when medical procedures fail.
Highlights
Postpartum haemorrhage (PPH) is difficult to treat and contributes significantly to maternal morbidity and mortality [1,2]
We compared the utility of Bakri balloon placement to that of bilateral internal iliac artery ligation (B-IIAL) in patients with placenta previa
This retrospective study assessed 54 patients with PPH treated via Bakri balloon placement and B-IIAL at a tertiary hospital between 2010 and 2015
Summary
Postpartum haemorrhage (PPH) is difficult to treat and contributes significantly to maternal morbidity and mortality [1,2]. PPH has various causes, of which uterine atony, placenta previa, anomalies of placental invasion, and uterine rupture are the most common [3,4,5]. As Cesarean section (CS) rates increase annually, haemorrhage at the site of placental implantation, attributable to placenta previa, remains a serious obstetric complication [6,7]. The aim of the present study was to evaluate the success rate of Bakri balloon placement in terms of controlling PPH in patients with placenta previa and uterine atony. We compared the utility of Bakri balloon placement to that of bilateral internal iliac artery ligation (B-IIAL) in patients with placenta previa
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