Double-balloon tamponade in the management of postpartum hemorrhage: a case series

Figures & data

Figure 1 Cervical ripening catheter.

Figure 2 MRI image of cervical ripening catheter in Cesarean section patient.

Notes: Inflated cervical ripening balloon involving cervix and proximal vagina. Sagittal T2-weighted MRI demonstrates inflated cervical ripening balloon transversing internal cervical os (thin arrow). Proximal portion of inflated balloon (arrowhead) is localized in the cervix. Distal portion of the balloon (thick arrow) is localized in vagina.
Abbreviation: MRI, magnetic resonance imaging.

Table 1 Obstetric and clinical characteristics of the cases

Parameters	Case 1	Case 2	Case 3	Case 4	Case 5	Case 6	Case 7
Maternal age (year)/gestational age (week)	41/39	16/38	34/35	30/37	35/36	29/37	28/36
G (number)/P (number)/A (number)	4/3/0	1/0/0	3/2/0	8/1/6	2/0/1	3/2/0	2/1/0
Risk factor	Advanced maternal age	Preeclampsia	Placenta previa totalis	Placenta previa totalis	Placenta previa totalis	Placenta previa totalis	Placenta previa totalis
Mode of delivery	Vaginal	Vaginal	Cesarean section	Cesarean section	Cesarean section	Cesarean section	Cesarean section
Weight of baby (gram)	3,200	3,000	2,520	4,160	3,150	3,080	2,950
Preoperative Hb (g/dL)/Htc (%)	8.4/24.6	8.1/25.3	7.3/23.6	13.1/37.4	13.4/37.6	12.1/35.3	11.4/33.1
Postoperative 1 day	7.4/21.1	7.2/20.3	9.1/26.4	10.1/31.2	11.6/33.2	10.1/31.2	9.3/27.4
Postoperative 3 day Hb (g/dL)/Htc (%)	8.9/25.2	11.1/32.4	8.8/26.3	9.3/27.5	9.8/30.1	9.8/27.6	9.1/26.0
Red cell concentrate (unit)	20	7	3	3	3	3	3
FFP (unit)	20	7	3	3	2	3	3
Whole blood (unit)	6	–	1	–	–	–	–
Adverse event	DIC	–	–	–	–	–	–
Length of hospitalization (days)	17	7	6	4	5	4	4

Abbreviations: G, gravida; P, parity; A, abortus; Hb, hemoglobin; Htc, hematocrit; FFP, fresh frozen plasma; DIC, disseminated intravascular coagulation.