Uterine tamponade balloon for the management of massive hemorrhage during cesarean section due to placenta previa/increta

Clin Exp Obstet Gynecol. 2012;39(2):255-7.

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.

MeSH terms

  • Adult
  • Balloon Occlusion / methods*
  • Cesarean Section
  • Female
  • Humans
  • Placenta Accreta / surgery*
  • Placenta Previa / surgery*
  • Postoperative Complications / therapy
  • Postpartum Hemorrhage / etiology
  • Postpartum Hemorrhage / therapy*
  • Pregnancy