Related Experiment Video
Updated: Mar 10, 2026
06:54
Ex Vivo Perfusion of the Rodent Placenta
Published on: May 30, 2019
10.6K
Comparison between two management protocols for postpartum hemorrhage during cesarean section in placenta previa:
Mohammad Ahmed Maher1,2, Ahmed Abdelaziz3,4
1Department of Obstetrics and Gynecology, Faculty of Medicine, Menoufia University, Shebin-Elkom, Egypt.
The Journal of Obstetrics and Gynaecology Research
|December 18, 2016
Summary
The Bakri balloon effectively manages post-partum hemorrhage (PPH) during cesarean sections for placenta previa (PP), preventing hysterectomy in most cases. This affordable strategy offers a successful alternative to non-balloon methods.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Surgical Hemostasis
Background:
- Post-partum hemorrhage (PPH) is a significant complication of cesarean section (CS), particularly in cases of placenta previa (PP).
- Effective management strategies are crucial to prevent hysterectomy and reduce maternal morbidity.
Purpose of the Study:
- To compare the efficacy of the Bakri balloon protocol versus non-balloon protocols for managing PPH during CS in PP.
- To identify predictors of success, failure, or complications in balloon-treated cases.
Main Methods:
- Prospective cohort study in two Saudi Arabian hospitals.
- Inclusion of patients with PPH during CS for PP.
- Primary outcome: prevention of hysterectomy; secondary outcomes: blood loss, transfusion, re-operation, ICU admission.
Main Results:
- 114 cases of PPH during CS for PP were analyzed.
- Bakri balloon protocol achieved hemostasis in 87.5% of cases.
- Balloon success was associated with absence of accreta and shorter operation duration.
Conclusions:
- The Bakri balloon is an effective strategy for managing PPH after CS in placenta previa.
- This method is affordable and should be considered for worldwide application.
