EXPERIENCE IN USING INTRAUTERINE BALLOON IN EARLY POSTPARTUM HEMORRHAGE

Abstract

Early postpartum hemorrhage holds a position within the top reasons of maternal mortality, in spite of the fact that it is one of the manageable reasons. The risk of postpartum hemorrhage is worsened by Coronavirus pandemic due to dysregulation of hemostatic system in this disease. The use of intrauterine balloon gives an opportunity to affect the uterine tonus and mechanically close lumen of vessels gaping during postpartum hemorrhage. The world research medical books represent several works devoted to the use of intrauterine balloons and every researcher highlights its high efficiency, ease of use and mini-mal amount of side effects. In our research work we used 6 balloons in early postpartum hemorrhage and achieved affects in 83.3%. In 16.7% we had to do hysterectomy, in 16.7% we had to perform surgery to stop the hemorrhage, i.e. to do B-Lynch compression suture. The presence of balloon in uterus did not lead to any suppurative-septic complications, nor changed the parameters of coagulation test and biochemical blood test. The Hb level remained stable both when balloon was in the uterus and when discharged from hospital. Thus, the use of balloon to stop early postpartum hemorrhage has proven its efficacy confirmed during practical experience and evidence-based sources.

Keywords

• early postpartum hemorrhage
• intrauterine balloon
• uterine tonus
• hysterectomy
• b-lynch compression suture