Background: To evaluate the success rate of Bakri balloon tamponade
(BBT) and the risk factors for BBT failure in the treatment of intraoperative and
postpartum hemorrhage (PPH) in patients with placenta previa. Methods:
Patients with placenta previa who underwent cesarean section and had BBT
insertion for PPH were consecutively included from 2016 to 2018. Patients with
placenta previa who successfully underwent routine insertion of a BBT during
cesarean section and had their bleeding controlled were classified as the balloon
success group. Patients who successfully underwent BBT during cesarean section
but continued to have uncontrolled bleeding were classified as the balloon
failure group. Multiple logistic regression was performed to examine the risk
factors for BBT failure. Results: During the study, 270 women with
placenta previa were identified. The success rate of BBT for managing PPH was
69.3%. The balloon failure group (n = 83) comprised those who had undergone BBT
insertion, followed by B-lynch suture (n = 10), uterine artery ascending branch
ligation (n = 32), pelvic arterial embolization (n = 21), or cesarean
hysterectomy (n = 20). The intraoperative blood loss was 3098 mL (700–18,000 mL)
in the balloon failure group and 1120 mL (500–4000 mL) in the balloon success
group, respectively (p
