History
This patient had a major post partum haemorrhage (PPH). After the first stages of standard management failed, a Bakri balloon was inserted. This is like a huge Foley catheter that can inflate to hold 500ml. It should sit in the uterus, creating a tamponading effect.
Longitudinal view of the pelvis : the balloon is inflated in the cervix rather than in the uterus. The smaller Foley catheter balloon is seen sitting above the Bakri balloon in the bladder. The Bakri volume was calculated at 50ml.
Longitudinal view of the uterine funds, without retained products of conception, not filled with blood, and not filled with the Bakri balloon. Fortunately bleeding seems to have stopped spontaneously.
Transverse view of the Bakri balloon in the cervix
CORRECT PLACEMENT INCORRECT PLACEMENT
This video shows how to insert and use the Bakri balloon.
How to use the Bakri Postpartum Balloon
About James Rippey