title: Balloon tamponade for postpartum haemorrhage: case series and literature review.
abstract: OBJECTIVE
  To audit the use of intrauterine balloon tamponade for the management of massive postpartum haemorrhage and compare outcomes with those documented in the literature.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  Obstetric Unit of a regional hospital in Hong Kong.
  
  
  METHODS
  All cases with severe postpartum haemorrhage from January 2011 to June 2012 in which Bakri intrauterine balloon catheters were used for management.
  
  
  METHODS
  Successful management with prevention of hysterectomy.
  
  
  RESULTS
  A total of 19 cases were identified. The postpartum haemorrhage was successfully treated without the need for additional procedures in 15 patients. Hysterectomy was avoided in a further two cases by recourse to radiologically guided uterine artery embolisation. In two patients, balloon tamponade failed in that hysterectomy was carried out. Thus, the overall success rate of intrauterine balloon tamponade alone was 79%, which was comparable to reported rates in the literature.
  
  
  CONCLUSIONS
  Bakri balloon tamponade is an effective means of managing massive postpartum haemorrhage, and should be adopted in protocols to manage such patients.
authors: Department of Obstetrics and Gynaecology, United Christian Hospital, Kwun Tong, Hong Kong.
authors: M C W
authors: MC
authors: Kong
authors: W W K
authors: WW
authors: To
mesh_terms: D000328:Adult; D021721:Balloon Occlusion / Q000379:methods*; D005260:Female; D006723:Hong Kong; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D006473:Postpartum Hemorrhage / Q000503:physiopathology / Q000628:therapy*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000379:methods
keywords: Balloon occlusion; Hysterectomy; Postpartum hemorrhage; Pregnancy; Treatment outcome