Use of balloon catheter tamponade for massive postpartum haemorrhage

被引:13
作者
Majumdar, A. [1 ]
Saleh, S. [1 ]
Davis, M. [1 ]
Hassan, I. [1 ]
Thompson, P. J. [1 ]
机构
[1] Stepping Hill Hosp, Womens Unit, Stockport SK2 7JE, Lancs, England
关键词
CEMACH; maternal mortality; postpartum haemorrhage; Rusch balloon; SEVERE MATERNAL MORBIDITY;
D O I
10.3109/01443615.2010.494202
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Haemorrhage is one of the leading global causes of maternal mortality. The Rusch balloon has been used in the treatment of postpartum haemorrhage (PPH) after failure of medical management. It is often effective in tamponading uterine bleeding, thus providing an alternative to hysterectomy. We describe a series of 22 cases in which we used the Rusch balloon to control massive obstetric haemorrhage after failure to control haemorrhage by medical means. In our study, 13 out of 22 patients (59.1%) required no further interventions after balloon tamponade. Seven patients (31.8%) required hysterectomy to control the bleeding. We include a review of the current literature on balloon tamponade for PPH, including analysis of six relevant case series. This demonstrates a variety of methods based on tamponade to terminate uterine haemorrhage. Our study highlights the benefit of balloon tamponade for massive PPH and the importance of its involvement in labour ward protocols.
引用
收藏
页码:586 / 593
页数:8
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