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

• Published in: European journal of obstetrics & gynecology and reproductive biology 2013-04, Vol.167 (2), p.167-170
• Main Authors: Kumru, Pınar, Demirci, Oya, Erdogdu, Emre, Arısoy, Resul, Ertekin, Arif Aktug, Tugrul, Semih, Pekin, Oya
• Format: Article
• Language: English
• Subjects: Adult; Bakri balloon; Cesarean; Cesarean Section; Combined Modality Therapy; Drug Resistance; Female; Humans; Hysterectomy; Iliac Artery - surgery; Length of Stay; Ligation; Obstetrics and Gynecology; Oxytocics - therapeutic use; Placenta previa; Placenta Previa - physiopathology; Postpartum hemorrhage; Postpartum Hemorrhage - drug therapy; Postpartum Hemorrhage - etiology; Postpartum Hemorrhage - physiopathology; Postpartum Hemorrhage - therapy; Pregnancy; Retrospective Studies; Severity of Illness Index; Sutures; Turkey; Uterine Balloon Tamponade - adverse effects; Young Adult
• ISSN: 0301-2115; 1872-7654
• DOI: 10.1016/j.ejogrb.2012.11.025

Abstract 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.