{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T12:38:20Z","timestamp":1777811900648,"version":"3.51.4"},"reference-count":41,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T00:00:00Z","timestamp":1609113600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008467","name":"CARO","doi-asserted-by":"publisher","award":["2018"],"award-info":[{"award-number":["2018"]}],"id":[{"id":"10.13039\/100008467","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Invasive therapies (surgery or radiological embolization) are used to control severe post-partum hemorrhage. The intra-uterine tamponade balloon is a potential alternative, well documented after vaginal delivery. However, available data on its use after cesarean delivery remain scarce. This study assessed the efficacy of the intra-uterine tamponade balloon during post-partum hemorrhage in a cesarean delivery setting. Using a retrospective impact design, post-partum hemorrhage-related outcomes before (\u201cpre-balloon\u201d period) versus after implementation of intra-uterine tamponade balloon (\u201cpost-balloon\u201d period) were compared. All women with post-partum hemorrhage requiring potent uterotonic treatment with prostaglandins after cesarean delivery over a 9-year period were eligible. The primary outcome was the rate of invasive procedure (conservative surgery, radiological embolization and\/or hysterectomy). p &lt; 0.05 was considered statistically significant. A total of 279 patients were included (140 vs. 139). Most baseline characteristics were comparable between the two studied periods. The success rate of the intra-uterine tamponade balloon was 82%, and no related complications occurred. Rates of invasive procedures and transfusion were significantly reduced (28.6% vs. 11.5%, p &lt; 0.001 and 44.3% vs. 28.1%, p = 0.006 respectively) during the \u201cpost-balloon\u201d period, and length of hospital stay was shorter (p &lt; 0.001). Implementation of intra-uterine tamponade balloon during post-partum hemorrhage after cesarean delivery appears to be safe and effective, with a decrease in both invasive procedures and transfusion rates.<\/jats:p>","DOI":"10.3390\/jcm10010081","type":"journal-article","created":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T20:03:03Z","timestamp":1609185783000},"page":"81","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Efficacy of Intra-Uterine Tamponade Balloon in Post-Partum Hemorrhage after Cesarean Delivery: An Impact Study"],"prefix":"10.3390","volume":"10","author":[{"given":"Micka\u00ebl","family":"Soued","sequence":"first","affiliation":[{"name":"Department of Anesthesia, H\u00f4pital Antoine B\u00e9cl\u00e8re, APHP, Universit\u00e9 Paris Saclay, 157 rue de la Porte de Trivaux, 92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4921-0047","authenticated-orcid":false,"given":"Alexandre J.","family":"Vivanti","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, H\u00f4pital Antoine B\u00e9cl\u00e8re, APHP, Universit\u00e9 Paris Saclay, 157 rue de la Porte de Trivaux, 92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Smiljkovski","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, H\u00f4pital Antoine B\u00e9cl\u00e8re, APHP, Universit\u00e9 Paris Saclay, 157 rue de la Porte de Trivaux, 92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Deffieux","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, H\u00f4pital Antoine B\u00e9cl\u00e8re, APHP, Universit\u00e9 Paris Saclay, 157 rue de la Porte de Trivaux, 92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Benachi","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, H\u00f4pital Antoine B\u00e9cl\u00e8re, APHP, Universit\u00e9 Paris Saclay, 157 rue de la Porte de Trivaux, 92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agn\u00e8s","family":"Le Gouez","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, H\u00f4pital Antoine B\u00e9cl\u00e8re, APHP, Universit\u00e9 Paris Saclay, 157 rue de la Porte de Trivaux, 92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1289-2849","authenticated-orcid":false,"given":"Fr\u00e9d\u00e9ric J.","family":"Mercier","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, H\u00f4pital Antoine B\u00e9cl\u00e8re, APHP, Universit\u00e9 Paris Saclay, 157 rue de la Porte de Trivaux, 92140 Clamart, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,12,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e323","DOI":"10.1016\/S2214-109X(14)70227-X","article-title":"Global causes of maternal death: A WHO systematic analysis","volume":"2","author":"Say","year":"2014","journal-title":"Lancet Glob. 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