Bakri Balloon as Last Non-Surgical Therapeutic Action to Control Postpartum Hemorrhage

Keywords: Hemorrhage; Postpartum; Bakri balloon; Control; Blood loss; Therapeutic measure Introduction Postpartum hemorrhage or also known by its acronym as PPH, is considered blood loss greater than 1000 millilitres or bleeding associated with signs/symptoms of hypovolemic within the first 24 hours after birth, regardless of the route of delivery, other authors define it as any blood loss greater than 500 milliliters after a vaginal delivery or greater than 1000 milliliters after a caesarean section, or any blood loss after delivery that causes hemodynamic instability, always taking into account the type of delivery performed [1]. [...]despite advances in the field of obstetrics, obstetric hemorrhage remains one of the main causes of maternal death in several countries, in fact, it was estimated that at least 25% of deaths are due to these haemorrhages and, additionally, 14 million women suffer from postpartum hemorrhage and of these it is estimated that more than 125,000 women die of PPH in the world annually, likewise, it is well known that 99% of these deaths occur in developing countries with an onset of characteristic signs and symptoms in women such as: dizziness, loss of consciousness, presence of hypotension, acceleration of heart rate, and an abnormal reduction in urine during a period of twenty-four hours [2]. [...]without a doubt, the authors affirm that it is a significant obstetric emergency, for this reason it is very important that the doctor detects the risk factors Table 1 of the patient and possible causes, for a correct prevention during consultations for prenatal controls, for a subsequent early diagnosis and thus provide the most appropriate treatment, according to the needs of the case [3, 4] (Table 1). According to the WHO, global maternal mortality has been reduced by approximately 44% between 1990-2015, despite the decrease in the percentage of deaths; the figures remain high in developing countries, mostly due to deaths after hemorrhages. [...]massive blood loss must be avoided through three basic manoeuvres and a fourth action, which is the application of the Bakri balloon.