Novel intrauterine balloon tamponade systems for postpartum hemorrhage.
3D-printing
Kyoto balloon
PRACE
balloon displacement
balloon tamponade
postpartum hemorrhage
shaft
uterus model
Journal
Acta obstetricia et gynecologica Scandinavica
ISSN: 1600-0412
Titre abrégé: Acta Obstet Gynecol Scand
Pays: United States
ID NLM: 0370343
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
08
05
2019
revised:
23
06
2019
accepted:
07
07
2019
pubmed:
25
7
2019
medline:
31
3
2020
entrez:
25
7
2019
Statut:
ppublish
Résumé
Postpartum hemorrhage is the most common cause of maternal death worldwide. Although intrauterine balloon tamponade has been widely used as an effective procedure to control atonic postpartum hemorrhage, intrauterine balloon tamponade fails to control postpartum hemorrhage in approximately one-fifth of cases. The aim of this study was to evaluate the efficacy of novel intrauterine balloon tamponade systems for postpartum hemorrhage. We have developed two novel intrauterine balloon tamponade systems to maintain proper balloon placement. One was a shaft cover with its fixture system and the other was "the Kyoto balloon system" designed to provide direct pressure onto the upper uterine cavity. The efficacy of the intrauterine balloon tamponade systems was evaluated using a silicone three-dimensionally printed postpartum uterine cavity model. Measurements of balloon displacement during inflation showed that the shaft cover significantly prevented the Bakri balloon from being displaced. The residual fluid volume in the upper uterine cavity was significantly less with the Kyoto balloon system than with the Bakri balloon system, indicating the effectiveness of the Kyoto balloon for upper uterine cavity tamponade. These innovative intrauterine balloon tamponade systems were effective for prevention of balloon displacement and for balloon tamponade of the upper uterine cavity in a 3D-printed postpartum-specific uterine cavity model.
Types de publication
Evaluation Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1612-1617Subventions
Organisme : Japan Agency for Medical Research and Development
Pays : International
Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
© 2019 Nordic Federation of Societies of Obstetrics and Gynecology.
Références
World Health Organization. WHO Recommendations for the Prevention and Treatment of Postpartum Hemorrhage. Geneva: WHO Library; 2012.
Sato M, Kondoh E, Iwao T, et al. Nationwide survey of severe postpartum hemorrhage in Japan: an exploratory study using the national database of health insurance claims. J Matern Fetal Neonatal Med. 2019;32:3537-3542.
Son M, Einerson BD, Schneider P, Fields IC, Grobman WA, Miller ES. Is there an association between indication for intrauterine balloon tamponade and balloon failure? Am J Perinatol. 2017;34:164-168.
Ikeda A, Kondoh E, Chigusa Y, et al. Novel subtype of atonic postpartum hemorrhage: dynamic computed tomography evaluation of bleeding characteristics and the uterine cavity. J Matern Fetal Neonatal Med. 2019;1-7. https://doi.org/10.1080/14767058.2019.1571033. [Epub ahead of print].
Kondoh E, Chigusa Y, Ueda A, Nakakita B, Mogami H, Mandai M. Video image: Ultrasound findings of a novel subtype of atonic postpartum hemorrhage: still a diagnosis of exclusion? Hypertens Res Pregnancy. 2019;7:39-40.
Supplemental Data 2019. Deposited 3 May 2019. https://doi.org/10.5281/zenodo.2662265.
Kawamura A, Kondoh E, Hamanishi J, et al. Cervical clamp with ring forceps to prevent prolapse of an intrauterine balloon in the management of postpartum hemorrhage. J Obstet Gynaecol Res. 2013;39:733-737.
Dildy GA, Belfort MA, Adair CD, et al. Initial experience with a dual-balloon catheter for the management of postpartum hemorrhage. Am J Obstet Gynecol. 2014;210:136.e1-136.e6.
Higashiyama N, Kondoh E, Ueda A, et al. “Tandem balloon tamponade” for arterial bleeding from the uterine fundus: two case reports. J Obstet Gynaecol. 2016;36:769-771.