Journal of International Obstetrics and Gynecology ›› 2017, Vol. 44 ›› Issue (6): 629-632.

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Efficacy Evaluation of Bakri Balloon Tamponade and Uterine Compression Suture in Treatment of Postpartum Hemorrhage for Complete Placenta Previa during Cesarean Section

MENG Zhen-ni,QUAN Si-jie,HUANG Yi -ying,YING Hao   

  1. Department of Obstetrics,Shanghai First Maternity and Infant Hospital,Tongji University,School of Medicine,Shanghai 200040,China
  • Received:2017-08-10 Revised:2017-11-29 Published:2017-12-15 Online:2017-12-15
  • Contact: HUANG Yi -ying,E-mail:huangyiying2013@163.com E-mail:huangyiying2013@163.com;jameshua0072003@yahoo.com.cn

Abstract: Objective:To investigate the efficacy of Bakri balloon tamponade and uterine compression suture (UCS) in treating postpartum hemorrhage for complete placenta previa during cesarean section. Methods:A retrospective study of 93 patients divided into two groups based on different hemostasis: the Bakri balloon tamponade group (n=32) and the uterine compression suture group (n=61). Treatment effects were observed. Results:The operation time for intrauterine Bakri balloon tamponade was significant shorter than the UCS group (P<0.05). Blood loss in the Bakri group was significant lower than the UCS group during the cesarean delivery (P<0.05). 2 cases in the UCS group were failed and required hysterectomy, and 1 case in the Bakri group with uterine compression suture avoided a subsequent hysterectomy. Conclusions:Bakri balloon tamponade is an effective way to control postpartum hemorrhage due to complete placenta previa during cesarean section.

Key words: Bakri balloon, Uterine compression suture, Complete placenta previa, Postpartum hemorrhage