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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Ed. by Bancalari, Eduardo / Chappelle, Joseph / Chervenak, Frank A. / D'Addario , Vincenzo / Genc, Mehmet R. / Greenough, Anne / Grunebaum, Amos / Konje, Justin C. / Kurjak M.D., Asim / Romero, Roberto / Zalud, MD PhD, Ivica


IMPACT FACTOR 2018: 1.361
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1619-3997
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Volume 46, Issue 1

Issues

Serum fibrinogen levels could be an index of successful use of balloon tamponade in postpartum hemorrhage

Ayaka Nakashima
  • Department of Obstetrics and Gynecology, Rinku General Medical Center Senshu Regional Medical Center for Women and Children’s Health, Izumisano-shi, Osaka, Japan
  • Other articles by this author:
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/ Kazuhide Ogita
  • Corresponding author
  • Department of Obstetrics and Gynecology, Rinku General Medical Center Senshu Regional Medical Center for Women and Children’s Health, Rinku Ourai Kita 2-23, Izumisano-shi, Osaka 598-8577, Japan, Phone: +81-72-469-3111, Fax: +81-72-469-7929
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/ Masaya Chita
  • Department of Obstetrics and Gynecology, Saitama Red Cross Hospital, Chuo-ku, Saitama-shi, Saitama, Japan
  • Other articles by this author:
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/ Takeshi Yokoi
  • Department of Obstetrics and Gynecology, Kaizuka City Hospital Senshu Regional Medical Center for Women and Children’s Health, Kaizuka-shi, Osaka, Japan
  • Other articles by this author:
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Published Online: 2017-02-28 | DOI: https://doi.org/10.1515/jpm-2016-0238

Abstract

Objective:

The object of our study was to determine whether serum fibrinogen levels could be used to predict the success rates of balloon tamponade and decrease the use of invasive methods.

Methods:

This retrospective study, conducted at Rinku General Medical Center, was aimed to identify factors associated with high success rates in balloon tamponade. Forty-six patients with postpartum hemorrhage (PPH), non-responsive to uterotonics and treated with balloon tamponade between April 2008 and March 2015, were included.

Results:

Forty-six women were included, of which 34 underwent vaginal delivery and 12 underwent cesarean delivery. There were no complications from balloon tamponade and its success rate was 73.3%. Seven women required additional procedures: One used gauze packing, three used uterine artery embolization, and five underwent peripartum hysterectomy. The cut-off line of serum fibrinogen level was 172.5 mg/dL (P=0.002) with its 77.4% sensitivity and 66.7% specificity.

Conclusion:

We recommend measuring serum fibrinogen level for predicting whether the balloon tamponade can be used successfully or not.

Keywords: Balloon tamponade; fibrinogen; postpartum hemorrhage

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About the article

Received: 2016-07-15

Accepted: 2017-01-23

Published Online: 2017-02-28

Published in Print: 2018-01-26


Author’s statement

Conflict of interest: Authors state no conflict of interest.

Material and methods: Informed consent: Informed consent has been obtained from all individuals included in this study.

Ethical approval: The research related to human subject use has complied with all the relevant national regulations, and institutional policies, and is in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.


Citation Information: Journal of Perinatal Medicine, Volume 46, Issue 1, Pages 53–57, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/jpm-2016-0238.

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