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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...

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Detalles Bibliográficos
Autores principales: Lin, Baohua, Zhou, Bei, Chen, Juanhua, Yang, Jinying
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
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.
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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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