Intrauterine Tamponade Balloon for Management of Severe Postpartum Haemorrhage: Does Early Insertion Change the Outcome? A Retrospective Study on Blood Loss
The French College of Gynecologists and Obstetricians (CNGOF) recommends the use of intrauterine tamponade balloon (IUTB) in postpartum haemorrhage for bleeding that is refractory after sulprostone before either surgery or interventional radiology. However, the elapsed time between uterotonic drug i...
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| Veröffentlicht in: | Journal of clinical medicine 2023-08, Vol.12 (17), p.5439 |
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| creator | Futcher, Françoise Moufawad, Graziella Centini, Gabriele Hayek, Jad Tarchichi, Jana Bakar, Joseph Habib, Nassir |
| description | The French College of Gynecologists and Obstetricians (CNGOF) recommends the use of intrauterine tamponade balloon (IUTB) in postpartum haemorrhage for bleeding that is refractory after sulprostone before either surgery or interventional radiology. However, the elapsed time between uterotonic drug injection and the insertion of intrauterine tamponade balloon was not reliably assessed. Objective: To evaluate the role of the timing of IUTB insertion and to assess the correlation between the time of insertion and outcome. Methods: A retrospective study in two tertiary care centres, including patients transferred for severe PPH management. Results: A total of 81 patients were included: 52 patients with IUTB inserted before 15 min (group 1) and 29 patients with IUTB inserted after 15 min (group 2). The mean volume of blood loss in the group of patients with IUTB inserted before 15 min was significantly lower than in group of patients with IUTB set after 15 min. Conclusion: An IUTB could be inserted simultaneously with a uterotonic agent, within 15 min and not after 15 min as suggested by local guidelines, but further prospective studies are required to confirm this. |
| doi_str_mv | 10.3390/jcm12175439 |
| format | Article |
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A Retrospective Study on Blood Loss</title><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Futcher, Françoise ; Moufawad, Graziella ; Centini, Gabriele ; Hayek, Jad ; Tarchichi, Jana ; Bakar, Joseph ; Habib, Nassir</creator><creatorcontrib>Futcher, Françoise ; Moufawad, Graziella ; Centini, Gabriele ; Hayek, Jad ; Tarchichi, Jana ; Bakar, Joseph ; Habib, Nassir</creatorcontrib><description>The French College of Gynecologists and Obstetricians (CNGOF) recommends the use of intrauterine tamponade balloon (IUTB) in postpartum haemorrhage for bleeding that is refractory after sulprostone before either surgery or interventional radiology. However, the elapsed time between uterotonic drug injection and the insertion of intrauterine tamponade balloon was not reliably assessed. Objective: To evaluate the role of the timing of IUTB insertion and to assess the correlation between the time of insertion and outcome. Methods: A retrospective study in two tertiary care centres, including patients transferred for severe PPH management. Results: A total of 81 patients were included: 52 patients with IUTB inserted before 15 min (group 1) and 29 patients with IUTB inserted after 15 min (group 2). The mean volume of blood loss in the group of patients with IUTB inserted before 15 min was significantly lower than in group of patients with IUTB set after 15 min. Conclusion: An IUTB could be inserted simultaneously with a uterotonic agent, within 15 min and not after 15 min as suggested by local guidelines, but further prospective studies are required to confirm this.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm12175439</identifier><identifier>PMID: 37685506</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Balloon dilatation ; Care and treatment ; Cesarean section ; Childbirth & labor ; Clinical medicine ; Embolization ; Fertility ; Hemoglobin ; Hemorrhage ; Hormones ; Hysterectomy ; Maternal mortality ; Medical equipment ; Medical referrals ; Methods ; Obstetrics ; Placenta ; Puerperal disorders ; Vagina ; Veins & arteries ; Womens health</subject><ispartof>Journal of clinical medicine, 2023-08, Vol.12 (17), p.5439</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-4e278170a6a875eaaf473432146367d503972f648b087481f05eac5e7a3ae8af3</citedby><cites>FETCH-LOGICAL-c454t-4e278170a6a875eaaf473432146367d503972f648b087481f05eac5e7a3ae8af3</cites><orcidid>0000-0002-6113-7401 ; 0000-0001-6504-5208 ; 0000-0003-3263-553X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10487974/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10487974/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Futcher, Françoise</creatorcontrib><creatorcontrib>Moufawad, Graziella</creatorcontrib><creatorcontrib>Centini, Gabriele</creatorcontrib><creatorcontrib>Hayek, Jad</creatorcontrib><creatorcontrib>Tarchichi, Jana</creatorcontrib><creatorcontrib>Bakar, Joseph</creatorcontrib><creatorcontrib>Habib, Nassir</creatorcontrib><title>Intrauterine Tamponade Balloon for Management of Severe Postpartum Haemorrhage: Does Early Insertion Change the Outcome? A Retrospective Study on Blood Loss</title><title>Journal of clinical medicine</title><description>The French College of Gynecologists and Obstetricians (CNGOF) recommends the use of intrauterine tamponade balloon (IUTB) in postpartum haemorrhage for bleeding that is refractory after sulprostone before either surgery or interventional radiology. However, the elapsed time between uterotonic drug injection and the insertion of intrauterine tamponade balloon was not reliably assessed. Objective: To evaluate the role of the timing of IUTB insertion and to assess the correlation between the time of insertion and outcome. Methods: A retrospective study in two tertiary care centres, including patients transferred for severe PPH management. Results: A total of 81 patients were included: 52 patients with IUTB inserted before 15 min (group 1) and 29 patients with IUTB inserted after 15 min (group 2). The mean volume of blood loss in the group of patients with IUTB inserted before 15 min was significantly lower than in group of patients with IUTB set after 15 min. Conclusion: An IUTB could be inserted simultaneously with a uterotonic agent, within 15 min and not after 15 min as suggested by local guidelines, but further prospective studies are required to confirm this.</description><subject>Balloon dilatation</subject><subject>Care and treatment</subject><subject>Cesarean section</subject><subject>Childbirth & labor</subject><subject>Clinical medicine</subject><subject>Embolization</subject><subject>Fertility</subject><subject>Hemoglobin</subject><subject>Hemorrhage</subject><subject>Hormones</subject><subject>Hysterectomy</subject><subject>Maternal mortality</subject><subject>Medical equipment</subject><subject>Medical referrals</subject><subject>Methods</subject><subject>Obstetrics</subject><subject>Placenta</subject><subject>Puerperal disorders</subject><subject>Vagina</subject><subject>Veins & arteries</subject><subject>Womens health</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptklFrFDEQgBdRbKl98g8EfBHkajbJJllfyvWs9uCkYutzmO7O3uXYTbZJ9uD-iz_WHC3aislDQvLNN8wwRfG2pGec1_TjthlKVqpK8PpFccyoUjPKNX_55H5UnMa4pXlpLTL7ujjiSuqqovK4-LV0KcCUMFiH5BaG0TtokVxA33vvSOcD-QYO1jigS8R35AZ3GJB89zGNENI0kCvAwYewydAn8tljJJcQ-j1Zuogh2WxZbMCtkaQNkuspNX7AczInPzAFH0dskt0huUlTuycZvsiJW7LyMb4pXnXQRzx9PE-Kn18ubxdXs9X11-Vivpo1ohJpJpApXSoKErSqEKATigvOSiG5VG1Fea1YJ4W-o1oJXXY0Q02FCjigho6fFOcP3nG6G7Bt8NCT3ozBDhD2xoM1z3-c3Zi135mSCq1qJbLh_aMh-PsJYzKDjQ32PTj0UzRMS87qmjOe0Xf_oFs_BZfrO1CsUprV6i-1hh6NdZ3PiZuD1MyVFEzKStFMnf2HyrvFwTbeYWfz-7OADw8BTe58DNj9KbKk5jBQ5slA8d8Tkrx1</recordid><startdate>20230822</startdate><enddate>20230822</enddate><creator>Futcher, Françoise</creator><creator>Moufawad, Graziella</creator><creator>Centini, Gabriele</creator><creator>Hayek, Jad</creator><creator>Tarchichi, Jana</creator><creator>Bakar, Joseph</creator><creator>Habib, Nassir</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6113-7401</orcidid><orcidid>https://orcid.org/0000-0001-6504-5208</orcidid><orcidid>https://orcid.org/0000-0003-3263-553X</orcidid></search><sort><creationdate>20230822</creationdate><title>Intrauterine Tamponade Balloon for Management of Severe Postpartum Haemorrhage: Does Early Insertion Change the Outcome? A Retrospective Study on Blood Loss</title><author>Futcher, Françoise ; Moufawad, Graziella ; Centini, Gabriele ; Hayek, Jad ; Tarchichi, Jana ; Bakar, Joseph ; Habib, Nassir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c454t-4e278170a6a875eaaf473432146367d503972f648b087481f05eac5e7a3ae8af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Balloon dilatation</topic><topic>Care and treatment</topic><topic>Cesarean section</topic><topic>Childbirth & labor</topic><topic>Clinical medicine</topic><topic>Embolization</topic><topic>Fertility</topic><topic>Hemoglobin</topic><topic>Hemorrhage</topic><topic>Hormones</topic><topic>Hysterectomy</topic><topic>Maternal mortality</topic><topic>Medical equipment</topic><topic>Medical referrals</topic><topic>Methods</topic><topic>Obstetrics</topic><topic>Placenta</topic><topic>Puerperal disorders</topic><topic>Vagina</topic><topic>Veins & arteries</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Futcher, Françoise</creatorcontrib><creatorcontrib>Moufawad, Graziella</creatorcontrib><creatorcontrib>Centini, Gabriele</creatorcontrib><creatorcontrib>Hayek, Jad</creatorcontrib><creatorcontrib>Tarchichi, Jana</creatorcontrib><creatorcontrib>Bakar, Joseph</creatorcontrib><creatorcontrib>Habib, Nassir</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Futcher, Françoise</au><au>Moufawad, Graziella</au><au>Centini, Gabriele</au><au>Hayek, Jad</au><au>Tarchichi, Jana</au><au>Bakar, Joseph</au><au>Habib, Nassir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intrauterine Tamponade Balloon for Management of Severe Postpartum Haemorrhage: Does Early Insertion Change the Outcome? A Retrospective Study on Blood Loss</atitle><jtitle>Journal of clinical medicine</jtitle><date>2023-08-22</date><risdate>2023</risdate><volume>12</volume><issue>17</issue><spage>5439</spage><pages>5439-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>The French College of Gynecologists and Obstetricians (CNGOF) recommends the use of intrauterine tamponade balloon (IUTB) in postpartum haemorrhage for bleeding that is refractory after sulprostone before either surgery or interventional radiology. However, the elapsed time between uterotonic drug injection and the insertion of intrauterine tamponade balloon was not reliably assessed. Objective: To evaluate the role of the timing of IUTB insertion and to assess the correlation between the time of insertion and outcome. Methods: A retrospective study in two tertiary care centres, including patients transferred for severe PPH management. Results: A total of 81 patients were included: 52 patients with IUTB inserted before 15 min (group 1) and 29 patients with IUTB inserted after 15 min (group 2). The mean volume of blood loss in the group of patients with IUTB inserted before 15 min was significantly lower than in group of patients with IUTB set after 15 min. Conclusion: An IUTB could be inserted simultaneously with a uterotonic agent, within 15 min and not after 15 min as suggested by local guidelines, but further prospective studies are required to confirm this.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>37685506</pmid><doi>10.3390/jcm12175439</doi><orcidid>https://orcid.org/0000-0002-6113-7401</orcidid><orcidid>https://orcid.org/0000-0001-6504-5208</orcidid><orcidid>https://orcid.org/0000-0003-3263-553X</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Balloon dilatation Care and treatment Cesarean section Childbirth & labor Clinical medicine Embolization Fertility Hemoglobin Hemorrhage Hormones Hysterectomy Maternal mortality Medical equipment Medical referrals Methods Obstetrics Placenta Puerperal disorders Vagina Veins & arteries Womens health |
| title | Intrauterine Tamponade Balloon for Management of Severe Postpartum Haemorrhage: Does Early Insertion Change the Outcome? A Retrospective Study on Blood Loss |
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