The routine use of prophylactic Bakri balloon tamponade contributes to blood loss control in major placenta previa

2021 ◽  
Author(s):  
Tatsuya Arakaki ◽  
Ryu Matsuoka ◽  
Hiroko Takita ◽  
Tomohiro Oba ◽  
Masamitsu Nakamura ◽  
...  
Keyword(s):  
Blood Loss ◽  
Placenta Previa ◽  
Balloon Tamponade ◽  
Loss Control ◽  
Bakri Balloon

Effect of routine rapid insertion of Bakri balloon tamponade on reducing hemorrhage from placenta previa during and after cesarean section

2017 ◽  
Vol 296 (3) ◽  
pp. 469-474 ◽  
Author(s):  
Hiroaki Soyama ◽  
Morikazu Miyamoto ◽  
Hidenori Sasa ◽  
Hiroki Ishibashi ◽  
Masashi Yoshida ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Placenta Previa ◽  
Balloon Tamponade ◽  
Bakri Balloon

scholarly journals Efficacy of Intrauterine Bakri Balloon Tamponade in Cesarean Section for Placenta Previa Patients

PLoS ONE ◽  
2015 ◽  
Vol 10 (8) ◽  
pp. e0134282 ◽  
Author(s):  
Hee Young Cho ◽  
Yong Won Park ◽  
Young Han Kim ◽  
Inkyung Jung ◽  
Ja-Young Kwon
Keyword(s):  
Cesarean Section ◽  
Placenta Previa ◽  
Balloon Tamponade ◽  
Bakri Balloon

scholarly journals Analysis of prophylactic Bakri balloon tamponade failure in patients with placenta previa

2019 ◽  
Vol 58 (1) ◽  
pp. 159-163 ◽  
Author(s):  
Hiroaki Soyama ◽  
Morikazu Miyamoto ◽  
Hiroki Ishibashi ◽  
Masaya Nakatsuka ◽  
Haruka Kawauchi ◽  
...  
Keyword(s):  
Placenta Previa ◽  
Balloon Tamponade ◽  
Bakri Balloon

Endouterine hemostatic square suture vs. Bakri balloon tamponade for intractable hemorrhage due to complete placenta previa

2013 ◽  
Vol 41 (6) ◽  
Author(s):  
Salih Burcin Kavak ◽  
Remzi Atilgan ◽  
İsmail Demirel ◽  
Ebru Celik ◽  
Rasit İlhan ◽  
...  
Keyword(s):  
Placenta Previa ◽  
Balloon Tamponade ◽  
Bakri Balloon

scholarly journals Placenta previa with posterior extrauterine adhesion: clinical features and management practice

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yoshikazu Nagase ◽  
Shinya Matsuzaki ◽  
Masayuki Endo ◽  
Takeya Hara ◽  
Aiko Okada ◽  
...  
Keyword(s):  
Propensity Score ◽  
Blood Loss ◽  
Cesarean Delivery ◽  
Clinical Features ◽  
Surgical Outcomes ◽  
Multivariate Regression ◽  
Placenta Previa ◽  
Control Group ◽  
Intraoperative Blood Loss ◽  
Intraoperative Bleeding

Abstract Background A diagnostic sign on magnetic resonance imaging, suggestive of posterior extrauterine adhesion (PEUA), was identified in patients with placenta previa. However, the clinical features or surgical outcomes of patients with placenta previa and PEUA are unclear. Our study aimed to investigate the clinical characteristics of placenta previa with PEUA and determine whether an altered management strategy improved surgical outcomes. Methods This single institution retrospective study examined patients with placenta previa who underwent cesarean delivery between 2014 and 2019. In June 2017, we recognized that PEUA was associated with increased intraoperative bleeding; thus, we altered the management of patients with placenta previa and PEUA. To assess the relationship between changes in practice and surgical outcomes, a quasi-experimental method was used to examine the difference-in-difference before (pre group) and after (post group) the changes. Surgical management was modified as follows: (i) minimization of uterine exteriorization and adhesion detachment during cesarean delivery and (ii) use of Nelaton catheters for guiding cervical passage during Bakri balloon insertion. To account for patient characteristics, propensity score matching and multivariate regression analyses were performed. Results The study cohort (n = 141) comprised of 24 patients with placenta previa and PEUA (PEUA group) and 117 non-PEUA patients (control group). The PEUA patients were further categorized into the pre (n = 12) and post groups (n = 12) based on the changes in surgical management. Total placenta previa and posterior placentas were more likely in the PEUA group than in the control group (66.7% versus 42.7% [P = 0.04] and 95.8% versus 63.2% [P < 0.01], respectively). After propensity score matching (n = 72), intraoperative blood loss was significantly higher in the PEUA group (n = 24) than in the control group (n = 48) (1515 mL versus 870 mL, P < 0.01). Multivariate regression analysis revealed that PEUA was a significant risk factor for intraoperative bleeding before changes were implemented in practice (t = 2.46, P = 0.02). Intraoperative blood loss in the post group was successfully reduced, as opposed to in the pre group (1180 mL versus 1827 mL, P = 0.04). Conclusions PEUA was associated with total placenta previa, posterior placenta, and increased intraoperative bleeding in patients with placenta previa. Our altered management could reduce the intraoperative blood loss.

1170 One-step deflation of bakri intrauterine balloon tamponade is not associated with increased blood loss

2021 ◽  
Vol 224 (2) ◽  
pp. S720-S721
Author(s):  
Gabriela Dellapiana ◽  
Candace Levian ◽  
Naomi Greene ◽  
Melissa S. Wong
Keyword(s):  
Blood Loss ◽  
Balloon Tamponade ◽  
One Step

Use of Bakri Balloon Tamponade in the Treatment of Postpartum Hemorrhage

2014 ◽  
Vol 34 (2) ◽  
pp. 106
Author(s):  
M. Grönvall ◽  
M. Tikkanen ◽  
E. Tallberg ◽  
J. Paavonen ◽  
V. Stefanovic
Keyword(s):  
Postpartum Hemorrhage ◽  
Balloon Tamponade ◽  
Bakri Balloon
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