Experience with uterine balloon tamponade in postpartum hypotonic bleedings
Objective. To evaluate the efficiency of uterine balloon tamponade (UBT) in the treatment of postpartum hypotonic bleedings.Askerov A.A., Nazaralieva S.B., Osmonova S.K.
Subjects and methods. Group 1 included 35 puerperas who underwent standard therapy and UBT; Group 2 consisted of 49 patients who received a basic treatment protocol.
Results and discussion. The UBT group showed significant (p < 0.05) reductions in the total volume of blood loss, in the frequency of surgical interventions, in the need for blood products, in the large doses of prostaglandins, in the large volumes of infusion therapy, antibacterial therapy, and painkillers. Breastfeeding started in 85% of cases within the first 2 hours. In addition, the levels of Hb and patient satisfaction with the treatment received were also significantly higher.
Conclusion. UBT is consistent with the strategy for preserving the reproductive potential of women and makes it possible to significantly improve medico-economic indicators and to increase the level of satisfaction and the quality of life in women.
Keywords
postpartum hypotonic bleeding
uterine balloon tamponade
Supplementary Materials
- Table 1. Characteristics of patients
- Table 2. Indicators effectiveness of balloon tamponade of the uterus
References
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Received 07.09.2017
Accepted 22.09.2017
About the Authors
Askerov Arsen Askerovich, MD, Professor, Head of the Department of Obstetrics and Gynecology № 2, I.K. Akhunbaev Kyrgyz State Medical Academy; Presidentof Obstetrician Gynecologists and Neonatologists Association of Kyrgyz Republic. 720020, Kyrgyz Republic, Bishkek, Akhunbaeva str. 92. E-mail: askerov.arsen@inbox.ru
Nazaralieva Saltanat Bolsunbekovna, PhD, Deputy Chief Physician for obstetrics and gynecology of National Center of Maternity and Childhood Care.
720038, Kyrgyz Republic, Bishkek, Akhunbaeva str. 190. E-mail: saltanat.nazaralieva@gmail.com
Osmonova Saikal Kamchybekovna, Postgraduate, obstetrician-gynecologist, National Center of Maternity and Childhood Care.
720038, Kyrgyz Republic, Bishkek, Akhunbaeva str. 190. E-mail: saikal.osmonova@gmail.com
For citations: Askerov A.A., Nazaralieva S.B., Osmonova S.K. Experience with uterine balloon tamponade in postpartum hypotonic bleedings.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (3): 52-6. (in Russian)
https://dx.doi.org/10.18565/aig.2018.3.52-56
