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Intrauterine Inflated Foley’s Catheter Balloon in the Management of Abnormally Invasive Placenta Previa: A Case–Control Study

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Abstract

Objective

To describe the use of intrauterine inflated Foley’s catheter balloon for control of postpartum hemorrhage (PPH) during cesarean section (CS) in cases of abnormally invasive placenta previa aiming to preserve the uterus.

Methods

Retrospective case–control study of the data of women who underwent elective CS on abnormally adherent placenta previa was carried out. Women in whom inflated Foley’s catheter balloon was used for control of PPH during CS (n = 40) were compared with a control group of women who underwent elective CS by the same technique but without use of intrauterine catheter balloon (n = 38).

Results

Use of intrauterine inflated Foley’s catheter balloon significantly reduced the estimated amount of blood loss (P = 0.008), amounts of crystalloids, colloids and packed red blood cells transfusion (P = 0.025, 0.017 and 0.022, respectively), and the need for bilateral internal iliac artery (IIA) ligation (P = 0.016). No significant difference was observed between both groups regarding the use of massive transfusion protocol, performing cesarean hysterectomy, relaparotomy, and admission to the intensive care unit.

Conclusion

Application of an intrauterine inflated Foley’s catheter balloon during CS in cases of morbidly adherent placenta previa helps to control PPH with preservation of the uterus and decreases the need for the invasive IIA ligation.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Mansoura University Hospitals, Elgomhouria St, Mansoura City, Dakahlia, 35111, Egypt

    Mahmoud Thabet, Mohamed Sayed Abdelhafez & Emad Ahmed Fyala

Authors
  1. Mahmoud Thabet
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  2. Mohamed Sayed Abdelhafez
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  3. Emad Ahmed Fyala
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Corresponding author

Correspondence to Mohamed Sayed Abdelhafez.

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Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Dr. M. Thabet is a Lecturer in Department of Obstetrics and Gynecology, Mansoura University, Egypt.

Dr. M. S. Abdelhafez is a Lecturer in Department of Obstetrics and Gynecology, Mansoura University, Egypt.

Dr. E. A. Fyala is a Lecturer in Department of Obstetrics and Gynecology, Mansoura University, Egypt.

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Thabet, M., Abdelhafez, M.S. & Fyala, E.A. Intrauterine Inflated Foley’s Catheter Balloon in the Management of Abnormally Invasive Placenta Previa: A Case–Control Study. J Obstet Gynecol India 68, 185–191 (2018). https://doi.org/10.1007/s13224-017-1003-6

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  • DOI: https://doi.org/10.1007/s13224-017-1003-6

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