Abstract
Objective
To evaluate arterial balloon occlusion of the internal iliac arteries for treatment
of life-threatening massive postpartum haemorrhage.
Study design
Retrospective cohort study at a tertiary referral perinatal centre in a teaching hospital
in the Netherlands. All patients who delivered in our hospital between January 1998
and January 2008 were included in the study. A retrospective analysis of all cases
of postpartum haemorrhage was performed. All 15 consecutive cases of massive postpartum
haemorrhage were selected from an electronic database. The patients with massive postpartum
haemorrhage (blood loss > 5000 ml) and the patients with postpartum haemorrhage treated with arterial balloon occlusion
of internal iliac arteries were analyzed.
Results
In the study period 1246 (7%) of all 17,308 deliveries were complicated by postpartum
haemorrhage. 15 (0.1%) patients suffered from massive postpartum haemorrhage. They
were all treated with balloon occlusion of the internal iliac arteries. Hysterectomy
was performed in 4 patients. All patients survived without any complications.
Conclusion
Arterial balloon occlusion of the internal iliac arteries is a safe and in most cases
effective procedure for treatment of massive life-threatening postpartum haemorrhage.
Keywords
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Article info
Publication history
Published online: November 02, 2009
Accepted:
October 9,
2009
Received in revised form:
September 1,
2009
Received:
December 9,
2008
Identification
Copyright
© 2009 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
