Heart Vessels and Transplantation (Oct 2019)

Intrauterine balloon tamponade in the management of postpartum hemorrhage

  • Saikal Osmonova,
  • Saltanat Nazaralieva

DOI
https://doi.org/10.24969/hvt.2019.159
Journal volume & issue
Vol. 3, no. 4
pp. 226 – 228

Abstract

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Objective: According to WHO, the maternal mortality ratio in Kyrgyz Republic is 76 cases per 100.000 live births and is the highest among the Central Asian and Eastern European countries. It is necessary to study and implement minimally invasive postpartum hemorrhage treatment methods to prevent massive obstetric hemorrhage. Methods: A prospective study of 35 cases of the use of intrauterine balloon tamponade (UBT) for the treatment of hypotonic postpartum hemorrhage was conducted. The indicators were assessed to evaluate the effectiveness of UBT. Results: Hemostatic effect after UBT was achieved in 30 cases (85.7%), the average total blood loss was 664.57 (117.83) ml; reduced need for blood products, high doses of prostaglandins, large volume of fluid maintenance was observed. Breastfeeding started within the first 30 – 60 minutes after birth in 88.6% of cases. Conclusion: UBT fully complies with the strategy for preservation of the reproductive potential in women, allows to improve medical and economic indicators.

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