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Int J Gynaecol Obstet. 2001 Aug;74(2):139-42.

Tamponade-balloon for obstetrical bleeding.

Author information

1
Department of Obstetrics & Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah 21499, Kingdom of Saudi Arabia MBC J-52.

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.

PMID:
11502292
DOI:
10.1016/s0020-7292(01)00395-2
[Indexed for MEDLINE]

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