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. 2001 Aug;74(2):139-42.
doi: 10.1016/s0020-7292(01)00395-2.

Tamponade-balloon for obstetrical bleeding

Y N Bakri  1 , A Amri, F Abdul Jabbar
Affiliations

Tamponade-balloon for obstetrical bleeding

Y N Bakri et al. Int J Gynaecol Obstet. 2001 Aug.

Abstract

Objectives: To study the effectiveness of a large volume, fluid-filled tamponade balloon in the management of post-partum hemorrhage originating from the implantation site of low-lying placenta/placenta previa.

Methods: A silicone, fluid-filled balloon was designed for tamponade function, with a filling capacity volume of 500 cc of sterile saline, and strength to withstand a maximum internal and external pressure of 300 mmHg. Five women with postpartum bleeding caused by low-lying placenta/placenta previa, and one woman with cervical ectopic pregnancy, underwent a tamponade balloon insertion as a conservative measure in the management of bleeding.

Results: The tamponade balloon was used in five women with post-partum bleeding caused by low-lying placenta/placenta previa, and in one woman with cervical pregnancy. The balloon was effective in controlling post-partum hemorrhage originating from the placental site of the lower uterine segment, and bleeding from the implantation site of cervical ectopic pregnancy.

Conclusion: Hemostasis in cases of post-partum bleeding caused by low-lying placenta/placenta previa can be achieved by using a large volume, fluid-filled tamponade balloon.

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