Safety and efficacy of the initial application of vacuum-induced intrauterine tamponade for the management of postpartum hemorrhage
Objective: This study aimed to evaluate the safety and efficacy of vacuum-induced intrauterine balloon tamponade (vIBT) using the modified Bakri system in a clinical setting. Materials and methods: This single-center observational study included women who had undergone vIBT for primary postpartum he...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455924002766 |
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| author | Ryuichi Shimaoka Yuichiro Takahashi Hitomi Ono Saki Inuzuka Masako Matsui Kazuhiko Asai Shigenori Iwagaki |
| author_facet | Ryuichi Shimaoka Yuichiro Takahashi Hitomi Ono Saki Inuzuka Masako Matsui Kazuhiko Asai Shigenori Iwagaki |
| author_sort | Ryuichi Shimaoka |
| collection | DOAJ |
| description | Objective: This study aimed to evaluate the safety and efficacy of vacuum-induced intrauterine balloon tamponade (vIBT) using the modified Bakri system in a clinical setting. Materials and methods: This single-center observational study included women who had undergone vIBT for primary postpartum hemorrhage (PPH). Vacuum induction at 60 kPa in the uterus was continued for 1 h with 50–100 ml saline, and the balloon was promptly removed after the protocol was completed. PPH was defined as an estimated blood loss of 1000 ml or more at delivery and sustained bleeding of ≥100 ml/h after delivery. The primary and secondary endpoints were the safety and efficacy of vIBT. Results: The criteria for PPH were met in 28 out of 601 (4.3 %) patients, 20 of whom underwent vIBT. No adverse events directly related to vIBT, such as uterine perforation, anaphylaxis, or endometritis, were observed. No patients were unable to undergo vIBT due to intrauterine balloon expulsion. It was successful in 19 out of 20 (95 %) patients. Blood transfusion was required in 6 out of 20 (30 %) patients. Conclusion: VIBT was safe and easy to perform in most patients with PPH, achieving effective bleeding control. |
| format | Article |
| id | doaj-art-9605ce6facbd40e8be3febc5d7641cca |
| institution | Kabale University |
| issn | 1028-4559 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj-art-9605ce6facbd40e8be3febc5d7641cca2025-01-09T06:12:49ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592025-01-016414652Safety and efficacy of the initial application of vacuum-induced intrauterine tamponade for the management of postpartum hemorrhageRyuichi Shimaoka0Yuichiro Takahashi1Hitomi Ono2Saki Inuzuka3Masako Matsui4Kazuhiko Asai5Shigenori Iwagaki6Corresponding author.; Department of Fetal-Maternal Medicine, Obstetrics, Gifu Prefectural General Medical Center, 4-6-1 No-isshiki, Gifu City 500-8717, Gifu, JapanDepartment of Fetal-Maternal Medicine, Obstetrics, Gifu Prefectural General Medical Center, 4-6-1 No-isshiki, Gifu City 500-8717, Gifu, JapanDepartment of Fetal-Maternal Medicine, Obstetrics, Gifu Prefectural General Medical Center, 4-6-1 No-isshiki, Gifu City 500-8717, Gifu, JapanDepartment of Fetal-Maternal Medicine, Obstetrics, Gifu Prefectural General Medical Center, 4-6-1 No-isshiki, Gifu City 500-8717, Gifu, JapanDepartment of Fetal-Maternal Medicine, Obstetrics, Gifu Prefectural General Medical Center, 4-6-1 No-isshiki, Gifu City 500-8717, Gifu, JapanDepartment of Fetal-Maternal Medicine, Obstetrics, Gifu Prefectural General Medical Center, 4-6-1 No-isshiki, Gifu City 500-8717, Gifu, JapanDepartment of Fetal-Maternal Medicine, Obstetrics, Gifu Prefectural General Medical Center, 4-6-1 No-isshiki, Gifu City 500-8717, Gifu, JapanObjective: This study aimed to evaluate the safety and efficacy of vacuum-induced intrauterine balloon tamponade (vIBT) using the modified Bakri system in a clinical setting. Materials and methods: This single-center observational study included women who had undergone vIBT for primary postpartum hemorrhage (PPH). Vacuum induction at 60 kPa in the uterus was continued for 1 h with 50–100 ml saline, and the balloon was promptly removed after the protocol was completed. PPH was defined as an estimated blood loss of 1000 ml or more at delivery and sustained bleeding of ≥100 ml/h after delivery. The primary and secondary endpoints were the safety and efficacy of vIBT. Results: The criteria for PPH were met in 28 out of 601 (4.3 %) patients, 20 of whom underwent vIBT. No adverse events directly related to vIBT, such as uterine perforation, anaphylaxis, or endometritis, were observed. No patients were unable to undergo vIBT due to intrauterine balloon expulsion. It was successful in 19 out of 20 (95 %) patients. Blood transfusion was required in 6 out of 20 (30 %) patients. Conclusion: VIBT was safe and easy to perform in most patients with PPH, achieving effective bleeding control.http://www.sciencedirect.com/science/article/pii/S1028455924002766Intrauterine balloon tamponadePostpartum hemorrhageVacuum-induced |
| spellingShingle | Ryuichi Shimaoka Yuichiro Takahashi Hitomi Ono Saki Inuzuka Masako Matsui Kazuhiko Asai Shigenori Iwagaki Safety and efficacy of the initial application of vacuum-induced intrauterine tamponade for the management of postpartum hemorrhage Taiwanese Journal of Obstetrics & Gynecology Intrauterine balloon tamponade Postpartum hemorrhage Vacuum-induced |
| title | Safety and efficacy of the initial application of vacuum-induced intrauterine tamponade for the management of postpartum hemorrhage |
| title_full | Safety and efficacy of the initial application of vacuum-induced intrauterine tamponade for the management of postpartum hemorrhage |
| title_fullStr | Safety and efficacy of the initial application of vacuum-induced intrauterine tamponade for the management of postpartum hemorrhage |
| title_full_unstemmed | Safety and efficacy of the initial application of vacuum-induced intrauterine tamponade for the management of postpartum hemorrhage |
| title_short | Safety and efficacy of the initial application of vacuum-induced intrauterine tamponade for the management of postpartum hemorrhage |
| title_sort | safety and efficacy of the initial application of vacuum induced intrauterine tamponade for the management of postpartum hemorrhage |
| topic | Intrauterine balloon tamponade Postpartum hemorrhage Vacuum-induced |
| url | http://www.sciencedirect.com/science/article/pii/S1028455924002766 |
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