Open AccessImpact of uterine balloon tamponade on the use of invasive procedures in severe postpartum hemorrhage
Author(s) -
Gauchotte Emilie,
De La Torre Manuela,
PerdriolleGalet Estelle,
Lamy Catherine,
Gauchotte Guillaume,
Morel Olivier
Publication year - 2017
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/aogs.13130
Subject(s) - uterotonic , medicine , tamponade , interventional radiology , balloon tamponade , retrospective cohort study , postpartum period , balloon , surgery , obstetrics , pregnancy , oxytocin , biology , genetics
The aim of this study was to assess the impact of tamponade when uterotonic agents fail, on the need for surgery or interventional radiology. Material and methods All women who received sulprostone for postpartum hemorrhage were retrospectively compared over two periods [December 2008 to December 2010 without use of tamponade (period 1) and June 2011 to June 2013 with use of tamponade (period 2)] in the case of sulprostone failure ( STROBE compliant retrospective cohort study). During period 2, interventional radiology or surgery was used only in the case of tamponade failure. Results 165 women were included (74 for period 1, 91 for period 2). The rate of interventional radiology or surgery significantly decreased from period 1 (21 of 74 women, 28.4%) to period 2 (six of 91 women, 6.6%, p = 0.0003). The rate of assumed failure of uterotonic agents was higher for period 2: 22 of 74 women (29.7%) during period 1, and 41 of 91 (45.1%, p = 0.0439) during period 2. The success rate of tamponade was 92.1% (35 of 38 women). Conclusions Although the efficacy of tamponade should be viewed in the light of its widespread use, our findings confirm that tamponade significantly reduces the need for interventional radiology or surgery for postpartum hemorrhage treatment.