What is the purpose of a Bakri balloon?
The Bakri balloon is used for temporary control or reduction of postpartum hemorrhage when conservative management of uterine bleeding is warranted, after bleeding from genital tract lacerations and retained product of conception has been excluded.
How does Bakri balloon work?
When using the Bakri balloon, it should be inserted into the uterus so that the entire balloon is past the internal cervical os. A syringe filled with sterile saline to the desired volume is used to fill the balloon. The tamponade effect is maintained via a gentle downward traction placed on the balloon stem.
How is a Bakri balloon removed?
Aspirate balloon contents until the balloon is completely empty. The fluid may be removed incrementally to allow for periodic observation of the patient. In an emergency, the shaft may be cut to rapidly deflate the balloon. Gently retract the balloon and discard it.
What is a balloon after giving birth?
It includes a condom (the “balloon”), which is filled with water using a syringe and rubber tubing. The water-filled balloon exerts pressure on the walls of the uterus, creating a tamponade that stops the flow of blood.
How much liquid is in Bakri balloon?
The Bakri balloon is a 24F, 54-cm-long silicone catheter with a balloon that has a stated capacity of 500 mL of fluid. The FDA approved this balloon for the management of PPH in 2006, and it was the first uterine tamponade balloon approved for this indication.
How do you assemble a Bakri balloon?
The cervix and vagina should be cleansed with an antiseptic solution, such as povidone iodine. Grasp the cervix with ring forceps. Insert the balloon into the cavity of the uterus under ultrasound guidance, making sure that the entire portion of the balloon passes the cervical canal above the internal cervical os.
What is a Bakri balloon inflated with?
The balloon is inflated with about 500 ml of sterile liquid, such as sterile water, saline or Ringer’s lactate solution. The Bakri balloon is left in the uterus for a maximum of 24 hours. Based on the cause of postpartum hemorrhage, it is managed by several medical and conservative methods and invasive procedures.
How long does Bakri balloon stay in?
The Bakri balloon is left in the uterus for a maximum of 24 hours. Based on the cause of postpartum hemorrhage, it is managed by several medical and conservative methods and invasive procedures.
How effective is the Bakri balloon?
A study by Vitthala and colleagues (4) included 15 women, and the Bakri balloon was effective in 80% of the cases. For vaginal deliveries, the success rate was 100%, whereas for labors that ended with cesarean delivery, the success rate was only 57%.
How long do you leave in a Bakri balloon?
How successful are uterine balloons?
The overall pooled uterine balloon tamponade success rate was 85.9% (95% confidence interval, 83.9-87.9%). The highest success rates corresponded to uterine atony (87.1%) and placenta previa (86.8%), and the lowest to placenta accreta spectrum (66.7%) and retained products of conception (76.8%).
When to use the Bakri Balloon for PPH?
The Bakri balloon is an intrauterine device indicated to reduce or control PPH temporarily when conservative treatment is warranted. It appears to be an effective alternative for the management of acute PPH refractory to medical treatment, and requires minimal training to use.
How is the Bakri balloon used for postpartum hemorrhage?
Its ease of use and high effectiveness make the Bakri balloon a useful approach for the conservative management of acute postpartum hemorrhage. This device reduces bleeding, shortens the hospital stay and avoids the need for more aggressive procedures.
What are the advantages of the Bakri Balloon?
The Bakri balloon has clear advantages compared to other intrauterine tamponade devices. These advantages are as follows: Bakri balloon catheter is made of silicone, which is advantageous in patients with latex allergy. The shape more naturally conforms to the uterine cavity compared to other catheters.
Are there any contraindications for the Bakri Balloon?
Few contraindications have been highlighted in the use of the Bakri. They include the following: DIC is listed as a contraindication for balloon tamponade given the complete lack of clinical data.