{
    "abstract": "Intrauterine balloon tamponade (IUBT) and compression sutures have been widely used in recent years in the management of postpartum hemorrhage (PPH). However, there is scant literature directly comparing the clinical scenarios that led to the discriminant selection of these management modalities and the direct clinical outcomes. The purpose of this study is to compare the patient characteristics and clinical risk factors that led to the use of IUBT and compression sutures in the management of major PPH as well as the immediate outcome in a retrospective cohort.\nPatients who had IUBT or compression sutures applied due to major PPH (>1000\u2009ml) from 2014 to 2018 in a single obstetric unit were recruited. The patient characteristics and clinical outcome of the two groups were compared.\nA total of 67 patients had IUBT and 29 patients had compression sutures applied as the first uterine sparing technique. Apart from more vaginal deliveries (25.4% vs. 3.5%) in the IUBT group compared to compression sutures, there were no significant differences between the two groups in terms of patient characteristics. The IUBT group had a slightly higher blood loss at the start of the uterine sparing procedure (239\u2009ml, \nThere were no dominating patient characteristics that favoured the selection of either IUBT or compression sutures in the management of severe PPH except for the mode of delivery. Both procedures had equally high overall success rates to control PPH, but IUBT performed better in placenta praevia cases as compared to compression sutures.",
    "authors": [
        {
            "affiliation": "Department of Obstetrics and Gynaecology, United Christian Hospital, Hong Kong.",
            "firstname": "Choi Wah",
            "initials": "CW",
            "lastname": "Kong"
        },
        {
            "affiliation": "Department of Obstetrics and Gynaecology, United Christian Hospital, Hong Kong.",
            "firstname": "William Wing Kee",
            "initials": "WWK",
            "lastname": "To"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2021 Choi Wah Kong and William Wing Kee To.",
    "doi": "10.1155/2021/6648829\n10.1016/s0029-7844(01)01643-x\n10.1097/01.ogx.0000271137.81361.93\n10.1016/S0020-7292(01)00395-2\n10.1016/j.ijgo.2010.11.021\n10.1055/s-2007-1022282\n10.1111/j.1471-0528.1997.tb11471.x\n10.1111/aogs.12077\n10.1111/j.1471-0528.2009.02113.x\n10.1007/s00404-016-4015-z\n10.1080/14767058.2018.1455184\n10.1111/j.1600-0412.2011.01176.x\n10.1007/s00404-009-1249-z\n10.1111/j.1471-0528.2005.00666.x\n10.1016/j.tjog.2016.02.008\n10.1097/md.0000000000013253\n10.1055/s-2007-984402\n10.1016/j.ijgo.2016.06.021\n10.1016/j.ajog.2006.10.887\n10.1016/j.ajog.2011.07.041\n10.1111/j.1471-0528.2004.00056.x\n10.1080/00016340802380750\n10.3109/01443615.2014.895309\n10.1016/j.ijgo.2011.02.026\n10.1111/jog.12590\n10.1016/j.fertnstert.2010.01.078\n10.1016/j.ajog.2013.02.052\n10.1186/s12884-018-2085-6\n10.3109/01443615.2011.614972\n10.1016/j.ijgo.2013.08.010\n10.1111/ajo.12376\n10.1002/ijgo.12498\n10.1371/journal.pone.0134282",
    "journal": "BioMed research international",
    "keywords": [],
    "methods": null,
    "publication_date": "2021-01-26",
    "pubmed_id": "33490275\n11864681\n17634155\n11502292\n21396642\n8674962\n9091019\n23330882\n19432563\n26781261\n29558231\n21564024\n19834719\n16167948\n27125401\n30431609\n17566947\n27612530\n17466689\n22000893\n14961893\n18927949\n24678816\n21767836\n25331482\n20347081\n23470856\n30463522\n22185530\n24262684\n26223852\n29603742\n26263014",
    "results": "A total of 67 patients had IUBT and 29 patients had compression sutures applied as the first uterine sparing technique. Apart from more vaginal deliveries (25.4% vs. 3.5%) in the IUBT group compared to compression sutures, there were no significant differences between the two groups in terms of patient characteristics. The IUBT group had a slightly higher blood loss at the start of the uterine sparing procedure (239\u2009ml, ",
    "title": "The Discriminant Use of Intrauterine Balloon Tamponade and Compression Sutures for Management of Major Postpartum Hemorrhage: Comparison of Patient Characteristics and Clinical Outcome.",
    "xml": "<Element 'PubmedArticle' at 0x7885022758f0>"
}