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Published online: 2023-11-20
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An alternative method of Bakri balloon placement for postpartum hemorrhage after vaginal delivery

Xiaoyin Wang1, Mei Yan2, Lin Zhuang1, Zhou Xu3, Hongying Yi4, Qingping Zhao5, Xiaoqin Chen6, Lin Chen6, Xue Wu6, Xingmei Li6, Yanqing Yao1
DOI: 10.5603/gpl.91341
·
Pubmed: 37994809
Affiliations
  1. Department of Obstetrics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
  2. Department of Women Health, Si Chuan Provincial Hospital for Women and Children, Chengdu, China
  3. Department of Obstetrics, Si Chuan JINXIN Women and Children Hospital, Chengdu, China
  4. Department of Gynecology, Si Chuan Provincial Hospital for Women and Children, Chengdu, China
  5. Department of Cervix, Si Chuan Provincial Hospital for Women and Children, Chengdu, China
  6. Department of Obstetrics, Si Chuan Provincial Hospital for Women and Children, Chengdu, China

open access

Ahead of Print
ORIGINAL PAPERS Obstetrics
Published online: 2023-11-20

Abstract

Objectives: We developed a new Bakri balloon tamponade (BBT) placement technique after vaginal delivery, which aimed to be faster without balloon slippage. This study compared the new method with standard placement of BBT in women with postpartum hemorrhage (PPH) after vaginal delivery.

Material and methods: This study was undertaken of women who underwent vaginal delivery at the obstetrics and gynecology departments of the Hospital of Chengdu University of Traditional Chinese Medicine, Sichuan Provincial Hospital for Women and Children, and Si Chuan JINXIN Women and Children Hospital between January 2014 and December 2020. Women who underwent BBT for PPH were grouped according to placement method into the old-BBT group and the new-BBT group.

Results: Of 20487 childbirths by vaginal delivery, 512 (2.50%) had PPH, 77 women underwent BBT (old-BBT n = 28, new-BBT n = 49). Background characteristics were similar except prothrombin time (PT, p < 0.01) and activated partial thromboplastin time (APTT, p < 0.004) were lower in the new-BBT group than the old-BBT group. The operation time was shorter in the new-BBT group (p < 0.001) with less bleeding (p < 0.003) and saline injection (p < 0.001). A balloon slippage was less likely (p < 0.008) and postoperative bleeding (p < 0.01), transfusion rate (p < 0.03), transfusion volume (p < 0.002), and hospital stay was lower in the new-BBT group (p < 0.015). Multivariate analysis suggested PT (OR = 0.039, 95% CI: 0.002–0.730, p < 0.030), international normalized ratio (OR = 8.244, 95% CI: 3.807–17.850, p < 0.009), and BBT method (OR = 5.200, 95% CI: 1.745-15.493, p < 0.003), were associated with requiring a blood transfusion.

Conclusions: This method of BBT placement reduced operation time, balloon slippage, bleeding, and hospital stay in women with PPH after vaginal delivery.

Abstract

Objectives: We developed a new Bakri balloon tamponade (BBT) placement technique after vaginal delivery, which aimed to be faster without balloon slippage. This study compared the new method with standard placement of BBT in women with postpartum hemorrhage (PPH) after vaginal delivery.

Material and methods: This study was undertaken of women who underwent vaginal delivery at the obstetrics and gynecology departments of the Hospital of Chengdu University of Traditional Chinese Medicine, Sichuan Provincial Hospital for Women and Children, and Si Chuan JINXIN Women and Children Hospital between January 2014 and December 2020. Women who underwent BBT for PPH were grouped according to placement method into the old-BBT group and the new-BBT group.

Results: Of 20487 childbirths by vaginal delivery, 512 (2.50%) had PPH, 77 women underwent BBT (old-BBT n = 28, new-BBT n = 49). Background characteristics were similar except prothrombin time (PT, p < 0.01) and activated partial thromboplastin time (APTT, p < 0.004) were lower in the new-BBT group than the old-BBT group. The operation time was shorter in the new-BBT group (p < 0.001) with less bleeding (p < 0.003) and saline injection (p < 0.001). A balloon slippage was less likely (p < 0.008) and postoperative bleeding (p < 0.01), transfusion rate (p < 0.03), transfusion volume (p < 0.002), and hospital stay was lower in the new-BBT group (p < 0.015). Multivariate analysis suggested PT (OR = 0.039, 95% CI: 0.002–0.730, p < 0.030), international normalized ratio (OR = 8.244, 95% CI: 3.807–17.850, p < 0.009), and BBT method (OR = 5.200, 95% CI: 1.745-15.493, p < 0.003), were associated with requiring a blood transfusion.

Conclusions: This method of BBT placement reduced operation time, balloon slippage, bleeding, and hospital stay in women with PPH after vaginal delivery.

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Keywords

postpartum hemorrhage; bakri balloon tamponade; vaginal delivery; retrospective study; balloon slippage

About this article
Title

An alternative method of Bakri balloon placement for postpartum hemorrhage after vaginal delivery

Journal

Ginekologia Polska

Issue

Ahead of Print

Article type

Research paper

Published online

2023-11-20

Page views

187

Article views/downloads

192

DOI

10.5603/gpl.91341

Pubmed

37994809

Keywords

postpartum hemorrhage
bakri balloon tamponade
vaginal delivery
retrospective study
balloon slippage

Authors

Xiaoyin Wang
Mei Yan
Lin Zhuang
Zhou Xu
Hongying Yi
Qingping Zhao
Xiaoqin Chen
Lin Chen
Xue Wu
Xingmei Li
Yanqing Yao

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