The Discriminant Use of Intrauterine Balloon Tamponade and Compression Sutures for Management of Major Postpartum Hemorrhage: Comparison of Patient Characteristics and Clinical Outcome
Table 1
Comparison of the characteristics between women treated with IUBT and those treated with compression sutures.
IUBT ()
Compression sutures ()
value
Age
33.3 (SD 4.3)
33.2 (SD 4.7)
0.92; MD 0.09 (CI -1.87 to 2.05)
Advanced maternal age ()
29 (43.2%)
11 (37.9%)
0.39
Parity
Nulliparous
33 (49.2%)
13 (44.8%)
0.43
Multiparous
34 (50.8%)
16 (55.2%)
Gestation at delivery
38.2 (SD 1.7)
38.07 (SD 1.7)
0.74; MD 0.12 (CI -0.64 to 0.88)
3 (4.5%)
3 (10.3%)
0.25
Multiple pregnancy
9 (13.4%)
2 (6.9%)
0.59
Previous CS
One previous CS
7 (10.4%)
5 (17.2%)
0.64
Two previous CS
3 (4.5%)
1 (3.5%)
Mode of delivery
Normal vaginal
17 (25.4%)
1 (3.5%)
<0.05
Instrumental
2 (3.0%)
1 (3.5%)
Caesarean section
48 (71.6%)
27 (93.1%)
Principle indication for CS
Placenta praevia
22 (45.8%)
6 (22.2%)
0.55
Abruptio placenta
2 (4.2%)
1 (3.7%)
Previous CS
1 (2.0%)
1 (3.7%)
Breech
4 (8.3%)
2 (7.4%)
No progress of labour
8 (16.8%)
7 (26.0%)
Multiple pregnancy
6 (12.5%)
1 (3.7%)
Fetal distress
3 (6.2%)
5 (18.5%)
Failed induction
0 (0.0%)
1 (3.7%)
Maternal disease
0 (0.0%)
1 (3.7%)
Prolonged second stage/failed instrumental delivery
2 (4.2%)
2 (7.4%)
Aetiology of PPH
Uterine atony
42 (62.7%)
23 (79.3%)
0.21
Placenta praevia/accreta
22 (32.8%)
6 (20.7%)
Genital tract trauma
3 (4.5%)
0 (0.0%)
Blood loss at start of uterine sparing procedure (ml)
1305 (SD 408) (range 800-2500)
1117 (SD 316) (range 800-2000)
0.049; MD 239 (CI 1.33 to 478)
Additional procedures
IUBT
—
3 (10.3%)
Compression sutures
6 (8.9%)
—
UAE
7 (10.4%)
4 (13.8%)
Pelvic devascularization
0 (0.0%)
2 (6.9%)
Hysterectomy
11 (16.4%)
6 (20.7%)
Total additional procedures
24 (35.8%)
15 (51.7%)
0.14
Coagulopathy
24 (35.8%)
8 (27.6%)
0.29
Total blood loss (ml)
2356 (SD 1550) (range 1100-8000)
2744 (SD 1980) (range 1150-9300)
0.30; MD -388 (CI -1134 to 357)
Lowest hemoglobin level (g/dl)
8.3 (SD 1.7) (3.6-12.9)
8.4 (SD 1.2) (5.6-10.1)
0.76; MD -0.11 (CI -0.82 to 0.60)
Transfusion of blood products
58 (86.5%)
19 (65.5%)
0.02
ICU admission
15 (50.7%)
13 (44.8%)
0.38
CI: confidence interval; CS: caesarean section; ICU: intensive care unit; IUBT: intrauterine balloon tamponade; MD: mean difference; PPH: postpartum hemorrhage; SD: standard deviation; UAE: uterine artery embolization. Statistically significant.
