Intrauterine balloon tamponade for PPH significantly reduces the need for invasive procedures

Using Intrauterine balloon tamponade to control bleeding in postpartum hemorrhage lowers the use of invasive procedures by 84% in women with vaginal delivery reports the results of a large population-based retrospective cohort study published in January issue of Obstetrics and Gynecology Journal.

However, the same intervention did not lower the use of invasive procedures in women delivered by cesarean section.

This large, multicenter center study included 72,529 women delivered across 19 maternity units belonging to two perinatal networks in France.

The two networks either used Intrauterine balloon tamponade (pilot network) or used other methods for management of PPH.

Total .4% of women (298) had to undergo either pelvic vessel ligation, arterial embolization or hysterectomy.

A significant less number of women in the balloon tamponade group had to undergo invasive procedure as compared to the control group (3.0/1,000 vs 5.1/1,000, P<.01).

Similarly, the incidence of arterial embolization was significantly less in women in whom balloon was used to arrest PPH, for both vaginal (0.2/1,000 vs 3.7/1,000, P<.01) and operative mode of delivery (1.3/1,000 vs 5.7/1,000, P<.01).

After considering the confounding variables, it was seen that the risk of women undergoing an invasive procedure for PPH was 84% lower in women who underwent Intrauterine balloon tamponade as compared to other procedures used for control of PPH.   

Abstract

Media courtesy: slideshare.net