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Prophylactic application of Bakri balloon tamponade versus uterine gauze packing during cesarean section in patients with placenta previa
OBJECTIVE: This study was performed to compare the effectiveness of routine Bakri balloon tamponade (BBT) and uterine gauze packing (UGP) during cesarean section in patients with placenta previa. METHODS: This study involved women with placenta previa who underwent cesarean section with either proph...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7133395/ https://www.ncbi.nlm.nih.gov/pubmed/32216508 http://dx.doi.org/10.1177/0300060520910049 |
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author | Lin, Baohua Zhou, Bei Chen, Juanhua Yang, Jinying |
author_facet | Lin, Baohua Zhou, Bei Chen, Juanhua Yang, Jinying |
author_sort | Lin, Baohua |
collection | PubMed |
description | OBJECTIVE: This study was performed to compare the effectiveness of routine Bakri balloon tamponade (BBT) and uterine gauze packing (UGP) during cesarean section in patients with placenta previa. METHODS: This study involved women with placenta previa who underwent cesarean section with either prophylactic BBT (n = 98) or UGP (n = 64) from January 2016 to December 2018. The clinical variables and pregnancy outcomes were compared between the two groups. RESULTS: The estimated intraoperative blood loss was significantly lower in the BBT than UGP group (667 ± 358 vs. 791 ± 360 ml, respectively). Additionally, the proportion of patients who required transfusion was significantly lower in the BBT than UGP group (9/98 vs. 17/64, respectively). The operative duration (97.8 ± 17.7 vs. 108.2 ± 16.9 minutes) and the length of stay (3.79 ± 0.89 vs. 4.12 ± 0.85 days) were significantly shorter in the BBT than UGP group. CONCLUSIONS: In patients with placenta previa who undergo cesarean section, preventive application of BBT is superior to UGP for decreasing the intraoperative blood loss and transfusion rate. BBT is a more reliable technique to prevent and control postpartum hemorrhage. |
format | Online Article Text |
id | pubmed-7133395 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-71333952020-04-13 Prophylactic application of Bakri balloon tamponade versus uterine gauze packing during cesarean section in patients with placenta previa Lin, Baohua Zhou, Bei Chen, Juanhua Yang, Jinying J Int Med Res Retrospective Clinical Research Report OBJECTIVE: This study was performed to compare the effectiveness of routine Bakri balloon tamponade (BBT) and uterine gauze packing (UGP) during cesarean section in patients with placenta previa. METHODS: This study involved women with placenta previa who underwent cesarean section with either prophylactic BBT (n = 98) or UGP (n = 64) from January 2016 to December 2018. The clinical variables and pregnancy outcomes were compared between the two groups. RESULTS: The estimated intraoperative blood loss was significantly lower in the BBT than UGP group (667 ± 358 vs. 791 ± 360 ml, respectively). Additionally, the proportion of patients who required transfusion was significantly lower in the BBT than UGP group (9/98 vs. 17/64, respectively). The operative duration (97.8 ± 17.7 vs. 108.2 ± 16.9 minutes) and the length of stay (3.79 ± 0.89 vs. 4.12 ± 0.85 days) were significantly shorter in the BBT than UGP group. CONCLUSIONS: In patients with placenta previa who undergo cesarean section, preventive application of BBT is superior to UGP for decreasing the intraoperative blood loss and transfusion rate. BBT is a more reliable technique to prevent and control postpartum hemorrhage. SAGE Publications 2020-03-27 /pmc/articles/PMC7133395/ /pubmed/32216508 http://dx.doi.org/10.1177/0300060520910049 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Retrospective Clinical Research Report Lin, Baohua Zhou, Bei Chen, Juanhua Yang, Jinying Prophylactic application of Bakri balloon tamponade versus uterine gauze packing during cesarean section in patients with placenta previa |
title | Prophylactic application of Bakri balloon tamponade versus uterine gauze packing during cesarean section in patients with placenta previa |
title_full | Prophylactic application of Bakri balloon tamponade versus uterine gauze packing during cesarean section in patients with placenta previa |
title_fullStr | Prophylactic application of Bakri balloon tamponade versus uterine gauze packing during cesarean section in patients with placenta previa |
title_full_unstemmed | Prophylactic application of Bakri balloon tamponade versus uterine gauze packing during cesarean section in patients with placenta previa |
title_short | Prophylactic application of Bakri balloon tamponade versus uterine gauze packing during cesarean section in patients with placenta previa |
title_sort | prophylactic application of bakri balloon tamponade versus uterine gauze packing during cesarean section in patients with placenta previa |
topic | Retrospective Clinical Research Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7133395/ https://www.ncbi.nlm.nih.gov/pubmed/32216508 http://dx.doi.org/10.1177/0300060520910049 |
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