EXPERIENCE IN USING INTRAUTERINE BALLOON IN EARLY POSTPARTUM HEMORRHAGE

2021

Full text Open access: Hybrid Metadata (CSL-JSON)
DOI 10.26577/iam.2021.v2.i2.04
Data confidence 70 medium
How this score is calculated

It is built from checkable properties of the record itself: whether the article has a DOI, how many independent sources confirmed its data, whether the required fields are filled in, and how recent the latest confirmation is. Disagreement between sources and a missing identifier lower it. A value of 80 or above means the record was published without further checking; 60 to 79 means it is published at reduced confidence, with a manual check advisable. A record verified by an editor by hand is never pushed below 90 by a recalculation. This scores our data about the article, not the article itself.

Abstract

Early postpartum hemorrhage holds a position within the top reasons of maternal mortality, in spite of the fact that it is one of the manageable reasons. The risk of postpartum hemorrhage is worsened by Coronavirus pandemic due to dysregulation of hemostatic system in this disease. The use of intrauterine balloon gives an opportunity to affect the uterine tonus and mechanically close lumen of vessels gaping during postpartum hemorrhage. The world research medical books represent several works devoted to the use of intrauterine balloons and every researcher highlights its high efficiency, ease of use and minimal amount of side effects. In our research work we used 6 balloons in early postpartum hemorrhage and achieved affects in 83.3%. In 16.7% we had to do hysterectomy, in 16.7% we had to perform surgery to stop the hemorrhage, i.e. to do B-Lynch compression suture. The presence of balloon in uterus did not lead to any suppurative-septic complications, nor changed the parameters of coagulation test and biochemical blood test. The Hb level remained stable both when balloon was in the uterus and when discharged from hospital. Thus, the use of balloon to stop early postpartum hemorrhage has proven its efficacy confirmed during practical experience and evidence-based sources.