Francisco Javier Ruiz Labarta1,2,3, María Pilar Pintado Recarte1,2,3, Laura Joigneau Prieto1,2,3, Coral Bravo Arribas1,2,3, Julia Bujan4,5,6, Miguel A Ortega4,5,6,7, Juan A De León-Luis1,2,3. 1. Department of Public and Maternal and Child Health, School of Medicine, Complutense University of Madrid, 28040 Madrid, Spain. 2. Department of Obstetrics and Gynecology, University Hospital Gregorio Marañón, 28009 Madrid, Spain. 3. Health Research Institute Gregorio Marañón, 28009 Madrid, Spain. 4. Department of Medicine and Medical Specialties, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, 28801 Madrid, Spain. 5. Ramón y Cajal Institute of Healthcare Research (IRYCIS), 28034 Madrid, Spain. 6. University Center for the Defense of Madrid (CUD-ACD), 28047 Madrid, Spain. 7. Pathological Anatomy Service, Central University Hospital of Defense-UAH, 28047 Madrid, Spain.
Abstract
BACKGROUND: Postpartum haemorrhage (PPH) is an unpredictable obstetric emergency that requires a multidisciplinary approach. Bakri balloon tamponade (BBT) is recommended when PPH does not respond to medical treatment. Nowadays few published studies have performed a multivariate analysis to determine the variables independently associated with BBT failure. METHODS: Our study purpose was to determine the variables independently associated with BBT failure: first, in a large single-centre cohort study between 2010 and 2020, and second, in a systematic literature review using Medline and the Cochrane Library. Maternal and perinatal variables, PPH characteristics, technique-related variables and complications were recorded in the case series study, comparing between successful and failed BBT patients. Study characteristic and variables significantly associated with BBT failure were recorded in the systematic review. All studies used a logistic regression test. RESULTS: The case series included 123 patients. The profile of these patients were primiparous, with vaginal delivery and a full-term new-born. BBT was successful in 81.3% of cases. Five studies were included in the systematic review, providing data from 551 patients. BBT was successful in 79.5% of cases. CONCLUSIONS: Maternal age, caesarean delivery, ≥7 red blood cells units (RBCU) transfused and curettage before BBT insertion, history of caesarean section, pre-pregnancy obesity, anteriorly placed placenta, placenta accreta, caesarean delivery, estimated blood loss before insertion of BBT, long operation duration, and coagulopathy were independent factors for BBT failure.
BACKGROUND: Postpartum haemorrhage (PPH) is an unpredictable obstetric emergency that requires a multidisciplinary approach. Bakri balloon tamponade (BBT) is recommended when PPH does not respond to medical treatment. Nowadays few published studies have performed a multivariate analysis to determine the variables independently associated with BBT failure. METHODS: Our study purpose was to determine the variables independently associated with BBT failure: first, in a large single-centre cohort study between 2010 and 2020, and second, in a systematic literature review using Medline and the Cochrane Library. Maternal and perinatal variables, PPH characteristics, technique-related variables and complications were recorded in the case series study, comparing between successful and failed BBTpatients. Study characteristic and variables significantly associated with BBT failure were recorded in the systematic review. All studies used a logistic regression test. RESULTS: The case series included 123 patients. The profile of these patients were primiparous, with vaginal delivery and a full-term new-born. BBT was successful in 81.3% of cases. Five studies were included in the systematic review, providing data from 551 patients. BBT was successful in 79.5% of cases. CONCLUSIONS: Maternal age, caesarean delivery, ≥7 red blood cells units (RBCU) transfused and curettage before BBT insertion, history of caesarean section, pre-pregnancy obesity, anteriorly placed placenta, placenta accreta, caesarean delivery, estimated blood loss before insertion of BBT, long operation duration, and coagulopathy were independent factors for BBT failure.
Authors: C Dupont; R-C Rudigoz; M Cortet; S Touzet; C Colin; M Rabilloud; J Lansac; T Harvey; V Tessier; C Chauleur; G Pennehouat; X Morin; M-H Bouvier-Colle; C Deneux-Tharaux Journal: J Gynecol Obstet Biol Reprod (Paris) Date: 2013-06-19
Authors: N Danisman; S Kahyaoglu; S Celen; B Akselim; E G Tuncer; H Timur; O Kaymak; I Kahyaoglu Journal: Eur Rev Med Pharmacol Sci Date: 2014 Impact factor: 3.507
Authors: Sebastian Suarez; Agustin Conde-Agudelo; Anderson Borovac-Pinheiro; Daniela Suarez-Rebling; Melody Eckardt; Gerhard Theron; Thomas F Burke Journal: Am J Obstet Gynecol Date: 2020-01-06 Impact factor: 8.661
Authors: Paul I Ramler; Dacia D C A Henriquez; Thomas van den Akker; Camila Caram-Deelder; Rolf H H Groenwold; Kitty W M Bloemenkamp; Jos van Roosmalen; Jan M M van Lith; Johanna G van der Bom Journal: Acta Obstet Gynecol Scand Date: 2019-07-10 Impact factor: 3.636
Authors: Javier Ruiz-Labarta; Ana Martínez Martín; Pilar Pintado Recarte; Blanca González Garzón; Juan Manuel Pina Moreno; Mercedes Sánchez Rodríguez; África Vallejo Gea; Luis Sordo; Melchor Álvarez-Mon; Miguel A Ortega; Coral Bravo Arribas; Juan A De León-Luis Journal: Healthcare (Basel) Date: 2022-02-21
Authors: Francisco Javier Ruiz Labarta; María Pilar Pintado Recarte; Manuel González Leyte; Coral Bravo Arribas; Arturo Álvarez Luque; Yolanda Cuñarro López; Cielo García-Montero; Oscar Fraile-Martinez; Miguel A Ortega; Juan A De León-Luis Journal: J Pers Med Date: 2022-07-01