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Role of Balloon Tamponade as a Therapeutic Non-Surgical Tool in Controlling Obstetric and Gynecological Hemorrhage in Low-Resource Countries

The Journal of Obstetrics and Gynecology of India volume 72, pages 285–290 (2022)Cite this article

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References

  1. Trends in maternal mortality: 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization; 2019

  2. Say L, Chou D, Gemmill A, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Global Health. 2014;2(6):e323-3.

    Article  Google Scholar 

  3. Kramer MS, Berg C, Abenhaim H, et al. Incidence, risk factors, and temporal trends in severe postpartum hemorrhage. Am J Obstet Gynecol. 2013;209(5):449.

    Article  Google Scholar 

  4. Al-Zirqi I, Vangen S, Forsen L, Stray-Pedersen B. Prevalence and risk factors of severe obstetric haemorrhage. BJOG. 2008;115(10):1265–72.

    CAS  Article  Google Scholar 

  5. Lutomski JE, Byrne BM, Devane D, Greene RA. Increasing trends in atonic postpartum haemorrhage in Ireland: an 11-year population-based cohort study. BJOG. 2012;119(3):306–14.

    CAS  Article  Google Scholar 

  6. Mehrabadi A, Hutcheon JA, Lee L, et al. Epidemiological investigation of a temporal increase in atonic postpartum haemorrhage: a population-based retrospective cohort study. BJOG. 2013;120(7):853–62.

    CAS  Article  Google Scholar 

  7. Condous GS, Arulkumarah S, Symonds I, et al. The, “tamponade test” in the management of massive postpartum hemorrhage. Obstet Gynecol. 2003;101:767–72.

    CAS  PubMed  Google Scholar 

  8. Cho Y, Rizvi C, Uppal T, Condous G. Ultrasonographic visualization of balloon placement for uterine tamponade in massive primary postpartum hemorrhage. Ultrasound Obstet Gynecol. 2008;32(5):711–3. https://doi.org/10.1002/uog.5408.

    CAS  Article  PubMed  Google Scholar 

  9. Bakri YN, Amri A, Jabbar FA. Tamponade-balloon for obstetrical bleeding. Int J Gynaecol Obstet. 2001;74:139–42.

    CAS  Article  Google Scholar 

  10. Olamijulo JA, Doufekas K. Intrauterine balloon tamponade for uncontrollable bleeding during first trimester surgical termination of pregnancy. J Obstet Gynaecol. 2007;27:441–2.

    Article  Google Scholar 

  11. Thomas RL, Gingold BR, Gallagher M. Cervical pregnancy. J Reprod Med. 1991;36:459–62.

    CAS  PubMed  Google Scholar 

  12. Okeahialam MG, Tuffnell DJ, O’Donovan PO, Sapherson DA. Cervical pregnancy managed by suction evacuation and balloon tamponade. Eur J Obstet Gynecol Reprod Biol. 1998;79:89–90.

    CAS  Article  Google Scholar 

  13. Fylstra DL, Coffey MD. Treatment of cervical pregnancy with cerclage, curettage and balloon tamponade: a report of three cases. J Reprod Med. 2001;46:71–4.

    CAS  PubMed  Google Scholar 

  14. Bakour SH, Thompson PK, Khan KS. Successful conservative management of cervical ectopic pregnancy with combination of methotrexate, mifepristone, surgical evacuation and tamponade using a double balloon three-way catheter. J Obstet Gynaecol. 2005;25:616–8.

    CAS  Article  Google Scholar 

  15. De La Vega GA, Avery C, Nemiroff R, Marchiano D. Treatment of early cervical Pregnancy with cerclage, carboprost, curettage and balloon tamponade. Obstet Gynecol. 2007;109:505–7.

    Article  Google Scholar 

  16. De Loor JA, van Dam PA. Foley catheters for uncontrollable obstetric or gynecologic hemorrhage. Obstet Gynecol. 1996;88:737–8.

    Article  Google Scholar 

  17. Goldrath MH. Uterine tamponade for the control of acute uterine bleeding. Am J Obstet Gynecol. 1983;147:869–72.

    CAS  Article  Google Scholar 

  18. Condi RG, Buxton EJ, Payne ES. Successful use of the Sengstaken-Blakemore tube to control massive postpartum haemorrhage. Br J Obstet Gynaecol. 1994;101:1023–4.

    Article  Google Scholar 

  19. Fahy U, Sved A, Burke G. Successful balloon tamponade of post caesarean hysterectomy pelvic bleeding: a case report. Acta Obstet Gynecol Scand. 2003;82:97–8.

    Article  Google Scholar 

  20. Akhter S, Begum MR, Kabir Z, et al. Use of a condom to control massive postpartum hemorrhage. MedGenMed. 2003;5(3):38.

    PubMed  Google Scholar 

  21. Shivkar KS, Khadilkar S, Gandhewar M. Pressure balloon therapy in uncontrolled obstetric hemorrhage. J Obstet Gynecol Ind. 2003;53(4):338–41.

    Article  Google Scholar 

  22. Hasabe R, Gupta K, Rathode P. Use of condom tamponade to manage massive obstetric hemorrhage at a tertiary center in Rajasthan. J Obstet Gynaecol India. 2016;66(Suppl 1):88–93. https://doi.org/10.1007/s13224-015-0790-x.

    Article  PubMed  Google Scholar 

  23. Goldrath MH, Fuller TA, Segal S. Laser photovaporization of endometrium for the treatment of menorrhagia. Am J Obstet Gynecol. 1981;104:14.

    Article  Google Scholar 

  24. Yu D, Li TC, Xia E, et al. A prospective randomized controlled trial on the effectiveness of routine Foley balloon tamponade on the reduction of bleeding after hysteroscopic resection of myoma. Gynecol Surg. 2006;3:93.

    Article  Google Scholar 

  25. Keriakos R, Mukhopadhyay A. The use of the Rusch balloon for management of severe postpartum haemorrhage. J Obstet Gynaecol. 2006;26:335–8.

    CAS  Article  Google Scholar 

  26. Katesmark M, Brown R, Raju KS. Successful use of a Sengstaken-Blakemore tube to control massive postpartum haemorrhage. Br J Obstet Gynaecol. 1994;101:259–60.

    CAS  Article  Google Scholar 

  27. Dabelea V, Schultze PM, McDuffie RS Jr. Intrauterine balloon tamponade in the management of postpartum hemorrhage. Am J Perinatol. 2007;24(6):359–64.

    Article  Google Scholar 

  28. Knight M. Peripartum hysterectomy in the UK: management and outcomes of the associated haemorrhage. BJOG. 2007;114:1380–7.

    CAS  Article  Google Scholar 

  29. Seror J, Allouche C, Elhaik S. Use of Sengstaken-Blakemore tube in massive postpartum hemorrhage: a series of 17 cases. Acta Obstet Gynecol Scand. 2005;84:660–4.

    CAS  Article  Google Scholar 

  30. Francis PN, Perkin KW, Pain MCF. Rupture of the oesophagus following use of the Sengstaken-Blakemore tube. Med J Aust. 1963;1:582–4.

    Article  Google Scholar 

  31. Johanson R, Kumar M, Obhrai M, Young P. Management of massive postpartum haemorrhage: use of a hydrostatic balloon catheter to avoid laparotomy. BJOG. 2001;108:420–2.

    CAS  PubMed  Google Scholar 

  32. Nelson WL, O’Brien JM. The uterine sandwich for persistent uterine atony: combining the B‐Lynch compression suture and an intrauterine Bakri balloon. Am J Obstet Gynecol 2007;e9–10.

  33. Purwosunu Y, Sarkoen W, Arulkumaran S, Segnitz J. Control of postpartum hemorrhage using vacuum-induced uterine tamponade. Obstet Gynecol. 2016;128(1):33–6.

    Article  Google Scholar 

  34. Mcquivey Ross, Block Jon, Massaro Robert. ebb® Complete tamponade system: effective hemostasis for postpartum hemorrhage. Med Dev : Evi Res. 2018;11:57–63. https://doi.org/10.2147/MDER.

    Article  Google Scholar 

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Authors and Affiliations

  1. Indian College of Obstetrics and Gynecology, Purandare Hospital, Charni Road East, Chowpatty, Andheri,, Girgaon, Mumbai, Maharashtra, 400004, India

    C. N. Purandare

  2. Jumeirah Prime Healthcare Group, and Past Secretary General—Emirates Medical Association, Dubai, United Arab Emirates

    Amala Khopkar Nazareth

  3. Department of Obstetrics and Gynecology, National Maternity Hospital, Dublin, Ireland

    Gillian Ryan

  4. Department of Obstetrics and Gynecology, University Hospital, Gallway, Ireland

    Nikhil C. Purandare

Authors
  1. C. N. Purandare
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  2. Amala Khopkar Nazareth
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  3. Gillian Ryan
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  4. Nikhil C. Purandare
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Correspondence to C. N. Purandare.

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Purandare, C.N., Nazareth, A.K., Ryan, G. et al. Role of Balloon Tamponade as a Therapeutic Non-Surgical Tool in Controlling Obstetric and Gynecological Hemorrhage in Low-Resource Countries. J Obstet Gynecol India 72, 285–290 (2022). https://doi.org/10.1007/s13224-022-01662-7

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  • DOI: https://doi.org/10.1007/s13224-022-01662-7

Keywords

  • Post partum hemorhage
  • Balloon tamponade
  • Uterine atony