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Poster session I Clinical obstetrics, epidemiology, fetus, medical-surgical complications, neonatalogy, physiology/endocrinology, prematurity: Abstracts 87 - 236| Volume 208, ISSUE 1, SUPPLEMENT , S59, January 01, 2013

106: The impact of the Bakri Balloon on the rate of cesarean hysterectomy at a single university hospital

      Objective

      To evaluate the impact on the rate of Cesarean Hysterectomy when a Bakri Balloon was added as part of the management of a postpartum hemorrhage.

      Study Design

      We reviewed all cases of postpartum hemorrhage at our hospital from January, 2004- December, 2010. We compared the incidence of Cesarean Hysterectomy between January, 2004 -September, 2007, prior to the availability of the Bakri Balloon at our hospital, and a similar period of time after the device was available, from October, 2007-December, 2010. The primary outcome was the rate of cesarean hysterectomy for postpartum hemorrhage in these two time periods. Cases of placenta accreta, increta, and percreta were excluded.

      Results

      Between January, 2004 - September, 2007 there were 35 cases of Postpartum hemorrhage, of which 10 had a Cesarean Hysterectomy (28.5%). After the Bakri balloon was introduced (October, 2007-December, 2010), there were 45 cases of postpartum hemorrhage, of which 1 had a C-Hysterectomy (2.2%). The Bakri balloon was used in 23 of the 45 cases. The p-value by Chi Square analysis was 0.00068.

      Conclusion

      Since the introduction in our hospital of the Bakri balloon as an option in the treatment of postpartum hemorrhage, there has been a 92.3% reduction in the rate of Cesarean Hysterectomies performed.