Affiliation:
1. Gynecologist and Obstetrician, Gynecological Endocrinology, Instructor University of the Bosque, Andes Samaritan University Hospital
2. Gynecologist and Obstetrician, Gynecological Endocrinology, Samaritan University Hospital
3. Internal Medicine and Endocrinologist, Clinical Epidemiologist, Master in Applied Statistics, Colsubsidio Specialist Center
Abstract
Objective: To determine the efcacy of the Bakri balloon in the prevention of hysterectomy due to postpartum hemorrhage versus conventional
management with uterotonics. Material and method: Retrospective observational cross-sectional study in women with postpartum uterine
hemorrhage treated at La Samaritana University Hospital in the city of Bogotá, Colombia, between 2013 and 2019. Clinical records were reviewed
and divided into two groups: Bakri balloon and uterotonics (no Bakri balloon). Results: Overall, 81 patients with postpartum uterine hemorrhage
were included, 27 patients (33.3%) were considered exposed (Bakri balloon) and 54 patients (66.6%) unexposed (no Bakri). The success rate
dened as stopping the bleeding and not requiring hysterectomy with the Bakri balloon was 96.3%, versus the no Bakri group, 68.52% (p = 0.04). In
addition, the Bakri balloon reduced the risk of hysterectomy by 99% (OR = 0.01; 95% CI 0.008-0.38; p = 0.01), when adjusting for age and
gestations. Conclusions: The use of the balloon demonstrated a high rate of effectiveness, decreased the risk of hysterectomy and was shown to be
an easy and safe method for the management of postpartum hemorrhage due to uterine atony. aThe Bakri balloon is available to health institutions
in countries with limited resources such as ours, where it constitutes an essential tool to deal with a pathology associated with a high risk of
mortality as is the case with postpartum hemorrhage.
Subject
Insect Science,Ecology, Evolution, Behavior and Systematics,Physical and Theoretical Chemistry,General Physics and Astronomy,General Chemical Engineering,General Physics and Astronomy,General Mathematics,Fluid Flow and Transfer Processes,General Physics and Astronomy,Mechanical Engineering,General Materials Science,Fluid Flow and Transfer Processes,General Physics and Astronomy,Mechanical Engineering,Physical and Theoretical Chemistry,General Physics and Astronomy,General Chemical Engineering,Fluid Flow and Transfer Processes,Mechanical Engineering,Condensed Matter Physics,Cellular and Molecular Neuroscience,Developmental Neuroscience,Neurology,General Medicine,Literature and Literary Theory,Linguistics and Language,Language and Linguistics