ESPOCH Congresses (Sep 2021)

Effectiveness of the Intrauterine Compression Balloon in Postpartum Hemorrhage, Riobamba Provincial Teaching Hospital – October 2015 to September 2016

  • Lino Arturo Rojas Pérez,
  • Lino Arturo Rojas Cruz,
  • María Daniela Villagómez Vega,
  • Augusto Ernesto Rojas Cruz,
  • Andrés Eduardo Rojas Cruz

DOI
https://doi.org/10.18502/espoch.v1i6.9641
Journal volume & issue
Vol. 1, no. 6
pp. 80 – 90

Abstract

Read online

Abstract Introduction: Postpartum hemorrhage is blood loss greater than 500 mL after a normal delivery or more than 1000 mL after a cesarean section, or any postpartum bleeding regardless of the amount causing hemodynamic instability. The uterine blood flow in a term pregnancy is approximately 500 to 700 mL/min, for this reason, a patient who presents this complication, in a few minutes, can be drained and compromise her life. Objective: To determine the efficacy of the intrauterine compression, balloon in the management of postpartum hemorrhage due to hypotonia or uterine atony, at the General Teaching Provincial Hospital of Riobamba from October 2015 to September 2016. Methodology: The effectiveness of the use of the intrauterine compression balloon after the failure of pharmacological management was analyzed and statistical evaluation was applied to determine the efficacy of this method for the management of this pathology. Results: It was placed in 23 patients who presented postpartum hemorrhage due to hypotonia or uterine atony, and it had an effectiveness of 94.4% after a vaginal delivery and 80% after a cesarean section. Reaffirming that it is an excellent option in the management of this type of complications. Conclusions: Postpartum hemorrhage is the second cause of maternal death nationwide, technical and timely action will help reduce maternal morbidity and mortality that this pathology can present; the use of the intrauterine hydrostatic compression balloon is an excellent alternative prior to the surgical management of this pathology.

Keywords