Factors Associated with Failure of Bakri Balloon Tamponade for the Management of Postpartum Haemorrhage. Case Series Study and Systematic Review

Background: Postpartum haemorrhage (PPH) is an unpredictable obstetric emergency that requires a multidisciplinary approach. Bakri balloon tamponade (BBT) is recommended when PPH does not respond to medical treatment. Nowadays few published studies have performed a multivariate analysis to determine...

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Detalhes bibliográficos
Autores: Ruiz Labarta, Francisco Javier, Pintado Recarte, María Del Pilar, Joigneau Prieto, Laura, Bravo Arribas, Coral, Bujan, Julia, Ortega, Miguel A., De León Luis, Juan Antonio
Formato: artículo
Fecha de publicación:2021
País:España
Recursos:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/7393
Acesso em linha:https://hdl.handle.net/20.500.14352/7393
Access Level:acceso abierto
Palavra-chave:618.2
Postpartum haemorrhage
Bakri balloon tamponade
Failure factors
Medicina
Ginecología y obstetricia
Salud pública (Medicina)
32 Ciencias Médicas
3201.08 Ginecología
3212 Salud Pública
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oai_identifier_str oai:docta.ucm.es:20.500.14352/7393
network_acronym_str ES
network_name_str España
repository_id_str
spelling Factors Associated with Failure of Bakri Balloon Tamponade for the Management of Postpartum Haemorrhage. Case Series Study and Systematic ReviewRuiz Labarta, Francisco JavierPintado Recarte, María Del PilarJoigneau Prieto, LauraBravo Arribas, CoralBujan, JuliaOrtega, Miguel A.De León Luis, Juan Antonio618.2Postpartum haemorrhageBakri balloon tamponadeFailure factorsMedicinaGinecología y obstetriciaSalud pública (Medicina)32 Ciencias Médicas3201.08 Ginecología3212 Salud PúblicaBackground: Postpartum haemorrhage (PPH) is an unpredictable obstetric emergency that requires a multidisciplinary approach. Bakri balloon tamponade (BBT) is recommended when PPH does not respond to medical treatment. Nowadays few published studies have performed a multivariate analysis to determine the variables independently associated with BBT failure. Methods: Our study purpose was to determine the variables independently associated with BBT failure: first, in a large single-centre cohort study between 2010 and 2020, and second, in a systematic literature review using Medline and the Cochrane Library. Maternal and perinatal variables, PPH characteristics, technique-related variables and complications were recorded in the case series study, comparing between successful and failed BBT patients. Study characteristic and variables significantly associated with BBT failure were recorded in the systematic review. All studies used a logistic regression test. Results: The case series included 123 patients. The profile of these patients were primiparous, with vaginal delivery and a full-term new-born. BBT was successful in 81.3% of cases. Five studies were included in the systematic review, providing data from 551 patients. BBT was successful in 79.5% of cases. Conclusions: Maternal age, caesarean delivery, ≥7 red blood cells units (RBCU) transfused and curettage before BBT insertion, history of caesarean section, pre-pregnancy obesity, anteriorly placed placenta, placenta accreta, caesarean delivery, estimated blood loss before insertion of BBT, long operation duration, and coagulopathy were independent factors for BBT failure.MDPIUniversidad Complutense de Madrid20212021-03-0820212021-03-08journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/7393reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 3.0 Españahttps://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/73932026-06-02T12:44:21Z
dc.title.none.fl_str_mv Factors Associated with Failure of Bakri Balloon Tamponade for the Management of Postpartum Haemorrhage. Case Series Study and Systematic Review
title Factors Associated with Failure of Bakri Balloon Tamponade for the Management of Postpartum Haemorrhage. Case Series Study and Systematic Review
spellingShingle Factors Associated with Failure of Bakri Balloon Tamponade for the Management of Postpartum Haemorrhage. Case Series Study and Systematic Review
Ruiz Labarta, Francisco Javier
618.2
Postpartum haemorrhage
Bakri balloon tamponade
Failure factors
Medicina
Ginecología y obstetricia
Salud pública (Medicina)
32 Ciencias Médicas
3201.08 Ginecología
3212 Salud Pública
title_short Factors Associated with Failure of Bakri Balloon Tamponade for the Management of Postpartum Haemorrhage. Case Series Study and Systematic Review
title_full Factors Associated with Failure of Bakri Balloon Tamponade for the Management of Postpartum Haemorrhage. Case Series Study and Systematic Review
title_fullStr Factors Associated with Failure of Bakri Balloon Tamponade for the Management of Postpartum Haemorrhage. Case Series Study and Systematic Review
title_full_unstemmed Factors Associated with Failure of Bakri Balloon Tamponade for the Management of Postpartum Haemorrhage. Case Series Study and Systematic Review
title_sort Factors Associated with Failure of Bakri Balloon Tamponade for the Management of Postpartum Haemorrhage. Case Series Study and Systematic Review
dc.creator.none.fl_str_mv Ruiz Labarta, Francisco Javier
Pintado Recarte, María Del Pilar
Joigneau Prieto, Laura
Bravo Arribas, Coral
Bujan, Julia
Ortega, Miguel A.
De León Luis, Juan Antonio
author Ruiz Labarta, Francisco Javier
author_facet Ruiz Labarta, Francisco Javier
Pintado Recarte, María Del Pilar
Joigneau Prieto, Laura
Bravo Arribas, Coral
Bujan, Julia
Ortega, Miguel A.
De León Luis, Juan Antonio
author_role author
author2 Pintado Recarte, María Del Pilar
Joigneau Prieto, Laura
Bravo Arribas, Coral
Bujan, Julia
Ortega, Miguel A.
De León Luis, Juan Antonio
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 618.2
Postpartum haemorrhage
Bakri balloon tamponade
Failure factors
Medicina
Ginecología y obstetricia
Salud pública (Medicina)
32 Ciencias Médicas
3201.08 Ginecología
3212 Salud Pública
topic 618.2
Postpartum haemorrhage
Bakri balloon tamponade
Failure factors
Medicina
Ginecología y obstetricia
Salud pública (Medicina)
32 Ciencias Médicas
3201.08 Ginecología
3212 Salud Pública
description Background: Postpartum haemorrhage (PPH) is an unpredictable obstetric emergency that requires a multidisciplinary approach. Bakri balloon tamponade (BBT) is recommended when PPH does not respond to medical treatment. Nowadays few published studies have performed a multivariate analysis to determine the variables independently associated with BBT failure. Methods: Our study purpose was to determine the variables independently associated with BBT failure: first, in a large single-centre cohort study between 2010 and 2020, and second, in a systematic literature review using Medline and the Cochrane Library. Maternal and perinatal variables, PPH characteristics, technique-related variables and complications were recorded in the case series study, comparing between successful and failed BBT patients. Study characteristic and variables significantly associated with BBT failure were recorded in the systematic review. All studies used a logistic regression test. Results: The case series included 123 patients. The profile of these patients were primiparous, with vaginal delivery and a full-term new-born. BBT was successful in 81.3% of cases. Five studies were included in the systematic review, providing data from 551 patients. BBT was successful in 79.5% of cases. Conclusions: Maternal age, caesarean delivery, ≥7 red blood cells units (RBCU) transfused and curettage before BBT insertion, history of caesarean section, pre-pregnancy obesity, anteriorly placed placenta, placenta accreta, caesarean delivery, estimated blood loss before insertion of BBT, long operation duration, and coagulopathy were independent factors for BBT failure.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-03-08
2021
2021-03-08
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/7393
url https://hdl.handle.net/20.500.14352/7393
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869407104247267328
score 15.300724

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