Official websites use. Share sensitive information only on official, secure websites. 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.
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. In , over 80, deaths worldwide were caused by postpartum haemorrhage PPH.
It is the primary cause of maternal death worldwide [ 1 ]. In October , The American College of Obstetricians and Gynecologists introduced a new classification, where they classified PPH as blood loss of more than mL or blood loss associated with hypovolaemic symptoms.
The main symptoms of hypovolaemia described were palpitations, dizziness, and tachycardia that can shortly be followed by sweating and weakness [ 3 ]. However, they considered that an excess of mL after vaginal delivery is an alert where a careful and thorough evaluation should be undertaken. In Australia and the UK, haemorrhage features within the top four causes of direct maternal deaths [ 5 ]. Its increase over the years could be explained by an increase in the age at childbirth or rate of caesarean delivery, but the evidence level is low [ 4 , 5 ].
