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The authors of the study recommend BBT be included in the PPH protocol. [5] An alternative to the Bakri is the BT-Cath (balloon-tamponade catheter) which has an easy-fill system allowing single person inflation and saving time in the theatre setting. The BT-Cath is more pear-shaped and contours to the uterus more easily than the Bakri.
Uterine balloon tamponade (UBT) is a non-surgical method of treating refractory postpartum hemorrhage. Once postpartum hemorrhage has been identified and medical management given (including agents such as uterotonics and tranexamic acid ), UBT may be employed to tamponade uterine bleeding without the need to pursue operative intervention.
The Bakri balloon is a medical device invented and designed by Dr. Younes Noaman Bakri in 1999. [1] The obstetrical balloon is a 24 French, 54 cm-long, silicone catheter with a filling capacity of 500 mL. The device is used for the temporary control and reduction of postpartum hemorrhage (PPH).
Uterine balloon tamponade (UBT) can improve postpartum bleeding. [42] Inflating a Sengstaken–Blakemore tube in the uterus successfully treats atonic postpartum hemorrhage refractory to medical management in approximately 80% of cases. [43] Such procedure is relatively simple, inexpensive and has low surgical morbidity. [43]
[1] [16] Balloon tamponade is the suggested method of tamponade in guidelines for management of PPH. [28] A bakri balloon to tamponade (also with vaginal packing) can be used with Foley catheter insertion to facilitate bladder drainage.
A Sengstaken–Blakemore tube is a medical device inserted through the nose or mouth and used occasionally in the management of upper gastrointestinal hemorrhage due to esophageal varices (distended and fragile veins in the esophageal wall, usually a result of cirrhosis).
In 2000, Akhter created a low-cost uterine balloon tamponade (UBT) from a catheter and a condom. [5] [6] At the time she created the UBT, around 40% of maternal deaths in Bangladesh occurred due to postpartum haemorrhage. [7] She created the UBT to prevent bleeding after childbirth and the total cost is less than $5.
Tamponade (/ ˌ t æ m. p ə ˈ n eɪ d / [1]) is the closure or blockage (as of a wound or body cavity) by or as if by a tampon, especially to stop bleeding. [2] Tamponade is a useful method of stopping a hemorrhage .