The Bakri balloon for the management of postpartum hemorrhage in cases with placenta previa

✍ Scribed by Kumru, Pınar; Demirci, Oya; Erdogdu, Emre; Arısoy, Resul; Ertekin, Arif Aktug; Tugrul, Semih; Pekin, Oya

• Book ID: 122816155
• Publisher: Elsevier Science
• Year: 2013
• Tongue: English
• Weight: 152 KB
• Volume: 167
• Category: Article
• ISSN: 0301-2115
• DOI: 10.1016/j.ejogrb.2012.11.025

✦ Synopsis

Objective: To evaluate the success rate of the Bakri balloon in the event of uncontrollable hemorrhage due to placenta previa. Study design: We evaluated 25 patients who were treated with the Bakri balloon who had severe postpartum hemorrhage with placenta previa and failed medical treatment with uterotonic agents. Results: The Bakri balloon was inserted abdominally during cesarean section in 24 of 25 cases. In only one case was it inserted vaginally. The Bakri tamponade was effective in 22 cases (88%). There were three cases with failure: two patients needed an additional procedure (hypogastric artery ligation and B-Lynch suture) and one patient needed hysterectomy. Conclusions: The Bakri balloon is the least invasive, rapid method in the management of bleeding due to placenta previa with minimal complications.