04 March 2024 : Clinical Research
Efficacy of Bakri Intrauterine Balloon in Managing Postpartum Hemorrhage: A Comparative Analysis of Vaginal and Cesarean Deliveries with Placenta Accreta Spectrum Disorders
Feifei Chen1BCEF, Chong Zhang1BCEF, Yaping Hu1ADEG*DOI: 10.12659/MSM.943072
Med Sci Monit 2024; 30:e943072
Table 2 Outcomes after the use of Bakri IUBT in controlling PPH in 198 vaginal and cesarean births.
| Vaginal birth (n=130) | Cesarean birth (n=68) | t/χ2 | P | |
|---|---|---|---|---|
| IUBT insertion duration (mean±SD, min) | 70.4±37.8 | 73.4±52.9 | 0.13 | 0.723 |
| IUBT placement method (n, %) | ||||
| Transvaginally | 130 (100.0) | 32 (47.1) | 84.12 | 0.000 |
| Transabdominally | 0 (0.0) | 36 (52.9) | ||
| Pre-IUBT intervention (n, %) | ||||
| No | 118 (90.8) | 34 (50.0) | 41.61 | 0.000 |
| Yes | 12 (9.2) | 34 (50.0) | ||
| Lower genital tract trauma (n, %) | ||||
| No | 126 (96.9) | 68 (100.0) | 2.14 | 0.14 |
| Yes | 4 (3.1) | 0 (0.0) | ||
| Total EBL | 1264.3±256.8 | 1323.6±292.2 | 1.13 | 0.262 |
| Pre-IUBT EBL (mean±SD, ml) | 1158.8±216.3 | 1208.8±292.9 | 1.24 | 0.217 |
| Post-IUBT EBL (mean±SD, ml) | 105.73±58. | 114.8±37.87 | 0.29 | 0.771 |
| Infused volume (mean±SD, ml) | 439.0±53.7 | 384.7±61.6 | 6.41 | 0.000 |
| Indwelling time (mean±SD, min) | 968.3±439.1 | 960.6±425.8 | 0.12 | 0.901 |
| Indwelling duration (n, %) | ||||
| <6 h | 18 (13.8) | 9 (13.2) | 0.01 | 0.905 |
| ≥6 h | 112 (86.2) | 59 (86.8) | ||
| Post-IUBT intervention (n, %) | ||||
| None | 109 (83.8) | 59 (86.8) | 1.12 | 0.573 |
| UAE | 19 (14.6) | 7 (10.3) | ||
| IIAE | 2 (1.5) | 2 (2.9) | ||
| Blood transfusion (n, %) | ||||
| No | 15 (11.53) | 24 (35.3) | 15.93 | 0.000 |
| Yes | 115 (96.67) | 44 (64.7) | ||
| RBC (mean±SD, U) | 2.4±2.2 | 3.4±2.2 | 2.90 | 0.004 |
| Cryoprecipitate (mean±SD, U) | 1.7±1.1 | 2.6±2.5 | 2.41 | 0.017 |
| Plasma (mean±SD, ml) | 179.4±33.3 | 276.2±64.0 | 2.55 | 0.012 |
| Puerperal fever (n, %) | ||||
| No | 128 (98.5) | 68 (100.0) | 1.01 | 0.304 |
| Yes | 2 (1.5) | 0 (0.0) | ||
| Bakri IUBT success (n, %) | ||||
| No | 22 (16.9) | 9 (13.2) | 0.46 | 0.498 |
| Yes | 108 (83.1) | 59 (86.8) | ||
| Case of successful VBACs (n, %) | 3 (2.3) | – | – | – |
| PPH – postpartum hemorrhage; IUBT – intrauterine balloon tamponade; UAE – uterine artery embolization; VBAC – vaginal birth after cesarean; IIAE – internal iliac artery embolization; SD – standard deviation; EBL – rstimate blood loss; RBC – red blood cell. | ||||