Tamponade‐balloon for obstetrical bleeding
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- 7 August 2001
- journal article
- Published by Wiley in International Journal of Gynecology & Obstetrics
- Vol. 74 (2) , 139-142
- https://doi.org/10.1016/s0020-7292(01)00395-2
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.Keywords
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