Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Uterine tamponade balloon for the management of massive hemorrhage during cesarean section due to placenta previa/increta
Affiliation
Article Info
1 2nd Department of Obstetrics and Gynecology, University of Athens, Aretaieion Hospital, Athens (Greece)
Abstract
Objective: Uterine tamponade with the Bakri catheter is effectively used as a treatment in postpartum hemorrhage and as a means to prevent fertility. Case: We present a case of a 40-year-old pregnant woman who had a massive hemorrhage during cesarean section who was successfully treated with a tamponade balloon. Furthermore, we comment on a similar technique – Logothetopoulos pack – which was first developed and used in our department in the early years of the previous century. Conclusion: A conservative technique such as the Bakri catheter is an alternative intermediate step to control postpartum hemorrhage when pharmaceutical methods fail and before proceeding to obstetric hysterectomy.
Keywords
- Bakri catheter
- Tamponade balloon
- Postpartum hemorrhage
- Obstetrical bleeding
- Placenta previa
- Placenta accreta
- Placenta increta
- Logothetopoulos pack
