Uterine Balloon Tamponade in Combination with Topical Administration of Tranexamic Acid for Management of Postpartum Hemorrhage
Joint Authors
Kinugasa, Masato
Tamai, Hanako
Miyake, Mayu
Shimizu, Takashi
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-12
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
While uterine balloon tamponade is an effective modality for control of postpartum hemorrhage, the reported success rates have ranged from the level of 60% to the level of 80%.
In unsuccessful cases, more invasive interventions are needed, including hysterectomy as a last resort.
We developed a modified tamponade method and applied it to two cases of refractory postpartum hemorrhage after vaginal delivery.
The first case was accompanied by uterine myoma and low-lying placenta.
After an induced delivery, the patient had excessive hemorrhage due to uterine atony.
Despite oxytocin infusion and bimanual uterine compression, the total blood loss was estimated at 2,800 mL or more.
The second case was diagnosed as placental abruption complicated by fetal death and severe disseminated intravascular coagulation, subsequently.
A profuse hemorrhage continued despite administration of uterotonics, fluid, and blood transfusion.
The total blood loss was more than 5,000 mL.
In each case, an intrauterine balloon catheter was wrapped in gauze impregnated with tranexamic acid, inserted into the uterus, and inflated sufficiently with sterile water.
In this way, mechanical compression by a balloon and a topical antifibrinolytic agent were combined together.
This method brought complete hemostasis and no further treatments were needed.
Both the women left hospital in stable condition.
American Psychological Association (APA)
Kinugasa, Masato& Tamai, Hanako& Miyake, Mayu& Shimizu, Takashi. 2015. Uterine Balloon Tamponade in Combination with Topical Administration of Tranexamic Acid for Management of Postpartum Hemorrhage. Case Reports in Obstetrics and Gynecology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059100
Modern Language Association (MLA)
Kinugasa, Masato…[et al.]. Uterine Balloon Tamponade in Combination with Topical Administration of Tranexamic Acid for Management of Postpartum Hemorrhage. Case Reports in Obstetrics and Gynecology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059100
American Medical Association (AMA)
Kinugasa, Masato& Tamai, Hanako& Miyake, Mayu& Shimizu, Takashi. Uterine Balloon Tamponade in Combination with Topical Administration of Tranexamic Acid for Management of Postpartum Hemorrhage. Case Reports in Obstetrics and Gynecology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059100
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059100