Tamponade-balloon for obstetrical bleeding.
OBJECTIVE
To study the effectiveness of a large volume, fluid-filled tamponade balloon in the management of post-partum hemorrhage originating from the implantation site of low-lying placenta/placenta previa.


METHODS
A silicone, fluid-filled balloon was designed for tamponade function, with a filling capacity volume of 500 cc of sterile saline, and strength to withstand a maximum internal and external pressure of 300 mmHg. Five women with postpartum bleeding caused by low-lying placenta/placenta previa, and one woman with cervical ectopic pregnancy, underwent a tamponade balloon insertion as a conservative measure in the management of bleeding.


RESULTS
The tamponade balloon was used in five women with post-partum bleeding caused by low-lying placenta/placenta previa, and in one woman with cervical pregnancy. The balloon was effective in controlling post-partum hemorrhage originating from the placental site of the lower uterine segment, and bleeding from the implantation site of cervical ectopic pregnancy.


CONCLUSIONS
Hemostasis in cases of post-partum bleeding caused by low-lying placenta/placenta previa can be achieved by using a large volume, fluid-filled tamponade balloon.
Bakri
Y N
YN
Department of Obstetrics & Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah 21499, Kingdom of Saudi Arabia MBC J-52.
Amri
A
A
Abdul Jabbar
F
F
D021721:Balloon Occlusion; D002404:Catheterization / Q000295:instrumentation; D005260:Female; D006489:Hemostatic Techniques; D006801:Humans; D010923:Placenta Previa / Q000150:complications; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications