Safety and efficacy of intrauterine balloon tamponade vs uterine gauze packing in managing postpartum hemorrhage: A systematic review and meta-analysisAJOG MFM at a Glance

Bibliographic Details
Title: Safety and efficacy of intrauterine balloon tamponade vs uterine gauze packing in managing postpartum hemorrhage: A systematic review and meta-analysisAJOG MFM at a Glance
Authors: Ahmad Abul, MBChB, Abdulrahman Al-Naseem, MBChB, Abdulwahab Althuwaini, Abdulredha Al-Muhanna, Naomi S. Clement, BMedSci, BMBS, PhD
Source: AJOG Global Reports, Vol 3, Iss 1, Pp 100135- (2023)
Publisher Information: Elsevier, 2023.
Publication Year: 2023
Collection: LCC:Gynecology and obstetrics
Subject Terms: gauze packing, intrauterine balloon, postpartum hemorrhage, Gynecology and obstetrics, RG1-991
More Details: BACKGROUND: There is debate on whether uterine gauze packing or intrauterine balloon tamponade is safer and more effective as a surgical management option for treating postpartum hemorrhage. OBJECTIVE: This study aimed to compare intra- and postoperative outcomes of intrauterine balloon tamponade and uterine gauze packing in patients with postpartum hemorrhage. STUDY DESIGN: A range of databases such as Cochrane and PubMed were searched using terms including “post-partum haemorrhage,” “uterine balloon tamponade,” and “uterine gauze packing.” All observational studies comparing intrauterine balloon tamponade with uterine gauze packing were included. Five studies were identified enrolling 821 adult patients diagnosed with postpartum hemorrhage. Primary outcomes included blood loss volume, success rates, and maternal mortality. Secondary outcomes comprised requiring additional interventions, postoperative hemoglobin levels, and requiring blood transfusions. Fixed and random models were used for analysis. RESULTS: Intrauterine balloon tamponade seemed to be a superior option to uterine gauze packing. Intrauterine balloon tamponade was better in reducing intraoperative blood loss, with a statistically significant improvement (P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2666-5778
Relation: http://www.sciencedirect.com/science/article/pii/S2666577822000831; https://doaj.org/toc/2666-5778
DOI: 10.1016/j.xagr.2022.100135
Access URL: https://doaj.org/article/8728a22c2d684188b94716d4e1d1db81
Accession Number: edsdoj.8728a22c2d684188b94716d4e1d1db81
Database: Directory of Open Access Journals
More Details
ISSN:26665778
DOI:10.1016/j.xagr.2022.100135
Published in:AJOG Global Reports
Language:English