Balloon tamponade during cesarean section is useful for severe post-partum hemorrhage due to placenta previa
Journal of Obstetrics and Gynaecology Research, 08/19/2011
Ishii T et al. – Intrauterine balloon–tamponade could successfully control severe hemorrhage from a lower uterine segment of a patient with placenta previa. This technique is simple to use, scarcely invasive, and available at a low cost to all maternity wards, and should be considered as one of the first management options to reduce the risk of undesirable hysterectomy.
Methods- Data were collected from authors' departmental clinical records on all patients who underwent caesarian section due to placenta previa between 2007 and 2009.
- During the period analyzed, 37 patients underwent caesarian section due to placenta previa/low-lying placenta.
- Four (11%) underwent hysterectomy due to placenta accreta and 33 (89%) were treated conservatively.
- Of the 33 patients with conserved uterus, 10 (28%) patients required a SB-tube during the cesarean section because of continuous post-partum hemorrhage despite appropriate medical treatment.
- The median bleeding during the operation was 2030 ± 860 mL in the patients who used SB-tube.
- None of them presented severe complications related to these procedures or required any further invasive surgery.