Factors predict Success of Intrauterine Tamponade in cases developed post partum hemorrhage

Document Type : Original Article

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Department of Obstetrics and Gynecology, Faculty of Medicine – Minia University

Abstract

Introduction: Postpartum hemorrhage is the leading cause of maternal death worldwide, with 
an estimated mortality rate of 140,000 per year, or one maternal death every 4 minutes.
Aim of the work: The aim of this study was to report the success rate of intrauterine balloon 
tamponade and to elucidate factors that influence the success rate. Patients and Methods: 
This study was carried out to evaluate the predictive factors for success of uterine balloon 
tamponade in managements of post-partum hemorrhage. Results: During the study period, 
1.965 deliveries occurred at our hospital. A total of 470 cases (4.29%) of these women 
experienced a PPH within 24 h. A total of 77 cases (0.7%) women had a balloon tamponade 
as 71 cases (92.2%) with Bakri balloon insertion &other 6 cases (7.79%) with foley's catheter 
insertion. Discussion: Postpartum hemorrhage is the leading cause of maternal death 
worldwide, with an estimated mortality rate of 140,000 per year, or one maternal death every 
4 minutes. PPH occurs in 5% of all deliveries and is responsible for a major part of maternal 
mortality (ACOG, 2006). Summary: Primary PPH is defined as excessive bleeding that 
occurs in the first 24 hours after delivery.

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