{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T07:40:17Z","timestamp":1780731617753,"version":"3.54.1"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T00:00:00Z","timestamp":1560384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the outcomes of women with postpartum hemorrhage (<jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>) refractory to initial management and in a state of hypoperfusion between management with a non\u2010pneumatic anti\u2010shock garment (<jats:styled-content style=\"fixed-case\">NASG<\/jats:styled-content>) and Bakri balloon and management with other surgical interventions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective observational descriptive study of women with <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> and hemorrhagic shock who were treated at a high complexity obstetric unit in Columbia between 2011 and 2017. Clinical records were reviewed and women were divided in two groups by clinical management. Group 1 women were managed with surgical interventions; group 2 women were managed with <jats:styled-content style=\"fixed-case\">NASG<\/jats:styled-content> plus a Bakri balloon.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 142 women were treated for <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>, with 69 in group 1 and 73 in group 2). There were differences between group 1 and group 2 in the degree of hypovolemic shock (shock index: 1.1 vs 0.9, <jats:italic>P<\/jats:italic>=0.02), indicators associated with hypoperfusion (lactic acid, 2.9 vs 1.9\u00a0mmol\/L, <jats:italic>P<\/jats:italic>=0.001), and frequency of transfusion of blood components (68% vs 44%, <jats:italic>P<\/jats:italic>&lt;0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The joint use of <jats:styled-content style=\"fixed-case\">NASG<\/jats:styled-content> and Bakri balloon in <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> management seemed to improve hypoperfusion\u2010related markers such as lactic acid and shock index, and reduce the frequency of additional blood transfusion.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12872","type":"journal-article","created":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T09:42:13Z","timestamp":1558950133000},"page":"244-249","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Experience of combined use of a Bakri uterine balloon and a non\u2010pneumatic anti\u2010shock garment in a university hospital in Colombia"],"prefix":"10.1002","volume":"146","author":[{"given":"Mar\u00eda F.","family":"Escobar","sequence":"first","affiliation":[{"name":"High Complexity Obstetric Unit Department of Gynecology &amp; Obstetrics Fundaci\u00f3n Valle del Lili  Cali Colombia"},{"name":"Postgraduate Department Faculty of Health Sciences Icesi University  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan P.","family":"Suso","sequence":"additional","affiliation":[{"name":"Postgraduate Department Faculty of Health Sciences Icesi University  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda A.","family":"Hincapi\u00e9","sequence":"additional","affiliation":[{"name":"Postgraduate Department Faculty of Health Sciences Icesi University  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda P.","family":"Echavarr\u00eda","sequence":"additional","affiliation":[{"name":"High Complexity Obstetric Unit Department of Gynecology &amp; Obstetrics Fundaci\u00f3n Valle del Lili  Cali Colombia"},{"name":"Postgraduate Department Faculty of Health Sciences Icesi University  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Centro de Investigaciones Cl\u00ednicas Fundaci\u00f3n Valle del Lili  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Carvajal","sequence":"additional","affiliation":[{"name":"High Complexity Obstetric Unit Department of Gynecology &amp; Obstetrics Fundaci\u00f3n Valle del Lili  Cali Colombia"},{"name":"Postgraduate Department Faculty of Health Sciences Icesi University  Cali Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60686-8"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2014.08.023"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.11.016"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(12)60859-5"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(12)60851-0"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-208"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0076477"},{"key":"e_1_2_7_9_1","unstructured":"World Health Organization.WHO recommendations for the prevention and treatment of postpartum haemorrhage. 1st Edition. 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