Department of Obstetrics and Gynecology, School of Medicine, Firat Medical Center, Firat University, Elazig, Turkey.
Department of Obstetrics and Gynecology, Special Medical Park Hospital, Elazig, Turkey.
Ther Clin Risk Manag. 2014 Aug 2;10:615-20. doi: 10.2147/TCRM.S62574. eCollection 2014.
To show the efficacy of double-balloon cervical ripening catheter in the management of postpartum hemorrhage originating from the lower segment of the uterus or the upper parts of the vagina.
Patients with intractable bleeding from the lower segment of the uterus and the upper parts of the vagina after Cesarean or vaginal deliveries were treated by double-balloon cervical ripening catheter.
Double-balloon catheter was used in seven patients, and it was properly placed in all of them. No other intervention was needed to control bleeding. Two patients were delivered vaginally, and five patients were delivered by Cesarean section. Length of hospitalization was longer in the vaginal delivery patients (average hospitalization was 12 days in the vaginal delivery patients and 5 days in the Cesarean section patients). The need for blood and blood products transfusion (average of blood and blood products transfusion was 30 U in the vaginal delivery patients and 6 U in the Cesarean patients) was also higher in the vaginal delivery patients.
Although double-balloon cervical ripening catheter is designed for the induction of labor, it can successfully control intractable bleedings from the lower segment of the uterus and the upper parts of the vagina. This procedure can save patients from undergoing more morbid procedures.
展示双球囊宫颈扩张导管在治疗源自子宫下段或阴道上部产后出血中的疗效。
对剖宫产或经阴道分娩后发生子宫下段和阴道上部顽固性出血的患者采用双球囊宫颈扩张导管进行治疗。
7 例患者使用了双球囊导管，均妥善放置。无需其他干预措施即可控制出血。2 例患者经阴道分娩，5 例患者行剖宫产术。阴道分娩患者的住院时间较长（阴道分娩患者的平均住院时间为 12 天，剖宫产患者为 5 天）。阴道分娩患者需要输血和血制品的情况（阴道分娩患者平均输血和血制品 30U，剖宫产患者为 6U）也更高。
尽管双球囊宫颈扩张导管是为引产而设计的，但它可以成功控制子宫下段和阴道上部的顽固性出血。该操作可以使患者避免接受更具创伤性的治疗。
