EFFECTIVENESS OF THE CONTROLLED BALLOON TAMPONADE IN THE MANAGEMENT OF THE POSTPARTUM HEMORRHAGE
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Abstract
The aim of the study was to evaluate the effectiveness of a controlled balloon tamponade using a Zhukovsky dual-balloon intrauterine module in the management of postpartum hemorrhage.
Materials and methods. Study design: retrospective case-control. Group I included 40 patients in whom a controlled balloon tamponade was used in the treatment of postpartum hypotonic bleeding. Group II (control) consisted of 40 women, whose help did not include the use of a balloon. The volume of blood loss was estimated by the gravimetric method. Statistical processing of the results was carried out using the StatSoft Statistica 6.1 software package.
Results. The results of the study showed that in patients for whom postpartum hypotonic bleeding was stopped using IBT, other organ-saving techniques were used statistically significantly more often: ligation of the ascending branch of the uterine artery - in 42.5 % and 15.0 % (p = 0.008) and compression sutures – in 32.4 % and 7.5 % (p = 0.009). The volume of blood loss was 990.62 ± 95.34 ml and 1766.66 ± 628.61 ml (p = 0.225), the volume of infusion-transfusion therapy was 1863.37 ± 727.53 ml and 2278.5 ± 1059.72 ml (p = 0.747), the frequency of blood transfusions – 40 % and 57.5 % (p = 0.119) did not differ statistically significantly between the groups. The frequency of hysterectomy in the group of women who received IBT was 6 times less than in the control group, respectively, in 5.0 % and 32.5 % (p = 0.005). The duration of hospitalization was not statistically significant between the groups: 5.8 ± 2.29 % and 6.8 ± 2.0 % (p = 0.748).
Conclusion. The dual-balloon intrauterine module (IUD) is an effective intervention for managing postpartum haemorrhage and reducing the incidence of postpartum hysterectomy.
Keywords
Author Biographies
Наталья Владимировна Артымук,
Artymuk Natalia Vladimirovna
MD, PhD, professor, deputy editor of the journal Mother and Baby in Kuzbass.
She is the Head of the Department of Obstetrics and Gynaecology №2, the Deputy Editor-in-Chief. She is also the President of the Kemerovo regional public organization “Association of obstetricians and gynecologists”, the chief obstetrician-gynecologist of the Siberian Federal district; the member of the Board of the Russian Society of Obstetricians and Gynaecologists, the member of the European Society of Contraception and Reproductive Health, the European Society of Gynaecological Oncology and the International Society of Gynecological Endocrinology.
She has graduated from Kemerovo State Medical institute with honors. She studied in clinical residency in obstetrics and gynecology at School of Arenberg (Salzburg, Austria) and School of Bloomberg (Johns Hopkins University, Baltimore, USA). One is a specialist in ultrasound diagnostics in obstetrics and gynecology, endocrinology and endoscopic surgery. In 1996 in Barnaul she defended her PhD thesis and her doctoral thesis in 2003 in Moscow.
Her priorities are: endocrine gynecology, infertility, cervix uteri pathology, menopausal disorders, disorder of menstrual function, endoscopic and abdominal gynecological surgery.
She deals with reproductive health problems, non-surgical and surgical treatment of benign neoplasms of genital organs. She is an author of more than 450 scientific works, including 3 monographs and study manuals for doctors. She has her highest medical qualification category in “Obstetrics and gynecology”.
Татьяна Юрьевна Марочко,
candidate of medical sciences, docent, department of obstetrics and gynecologyДмитрий Анатольевич Артымук,
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The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
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