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Master Thesis

Le tamponnement intra-utérin par ballonnet de Bakri dans la prise en charge des hémorragies du post-partum‎ : à propos de 9 cas au centre hospitalier de Chambéry

Abstract : Background : Postpartum haemorrhage is a major cause of maternal mortality and morbidity in France. Recently, intrauterine balloon tamponade has been described as a nonsurgical approach for postpartum haemorrhage cases unresponsive to first-line measures. However, this procedure remains underknown in our country. Objectives : The main objective was to describe intrauterine Bakri balloon tamponade characteristics. Secondary objectives were to evaluate first-line management of postpartum haemorrhage compared with French clinical guidelines and to study maternal morbidity. Methods : We conducted a retrospective case series of nine patients who underwent Bakri balloon insertion after unsuccessful medical treatment of postpartum haemorrhage, in the Chambery birth hospital between 2011 July and 2012 February. Results : Intrauterine tamponade was effective in seven of nine cases (77,7%) and in 100% of caesarean sections. For the two others patients, arterial embolization or vascular ligation was required. Uterotonic and antibiotic treatment was administred in all cases. First-line management was optimal for two vaginal delivery and inadequate for the other seven, including all caesarean sections. Blood transfusion was necessary in four cases. Conclusion : Uterine tamponade seems to have it's place in management of postpartum haemorrhage unresponsive to medical treatment, by treating haemorrhage or waiting further invasive methods.
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https://dumas.ccsd.cnrs.fr/dumas-00744691
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Submitted on : Tuesday, October 23, 2012 - 4:07:29 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
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Céline Vernet. Le tamponnement intra-utérin par ballonnet de Bakri dans la prise en charge des hémorragies du post-partum‎ : à propos de 9 cas au centre hospitalier de Chambéry. Gynécologie et obstétrique. 2012. ⟨dumas-00744691⟩

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