Мать и дитя в Кузбассе (Feb 2021)
EFFECTIVENESS OF THE CONTROLLED BALLOON TAMPONADE IN THE MANAGEMENT OF THE POSTPARTUM HEMORRHAGE
Abstract
The aim of the study was to evaluate the effectiveness of a controlled balloon tamponade using a Zhukovsky dual-balloon intrauterine module in the management of postpartum hemorrhage. Materials and methods. Study design: retrospective case-control. Group I included 40 patients in whom a controlled balloon tamponade was used in the treatment of postpartum hypotonic bleeding. Group II (control) consisted of 40 women, whose help did not include the use of a balloon. The volume of blood loss was estimated by the gravimetric method. Statistical processing of the results was carried out using the StatSoft Statistica 6.1 software package. Results. The results of the study showed that in patients for whom postpartum hypotonic bleeding was stopped using IBT, other organ-saving techniques were used statistically significantly more often: ligation of the ascending branch of the uterine artery - in 42.5 % and 15.0 % (p = 0.008) and compression sutures – in 32.4 % and 7.5 % (p = 0.009). The volume of blood loss was 990.62 ± 95.34 ml and 1766.66 ± 628.61 ml (p = 0.225), the volume of infusion-transfusion therapy was 1863.37 ± 727.53 ml and 2278.5 ± 1059.72 ml (p = 0.747), the frequency of blood transfusions – 40 % and 57.5 % (p = 0.119) did not differ statistically significantly between the groups. The frequency of hysterectomy in the group of women who received IBT was 6 times less than in the control group, respectively, in 5.0 % and 32.5 % (p = 0.005). The duration of hospitalization was not statistically significant between the groups: 5.8 ± 2.29 % and 6.8 ± 2.0 % (p = 0.748). Conclusion. The dual-balloon intrauterine module (IUD) is an effective intervention for managing postpartum haemorrhage and reducing the incidence of postpartum hysterectomy.
