Taponamiento intrauterino con balones hidrostáticos: revisión narrativa

OBJECTIVE: Evaluate de effectiveness of uterine balloons tamponade methods, based on the outcomes of literature reports regarding clinical results, variety, advantages and disadvantages, as to the indications and particularities that is offered by its use. METHODOLOGY: Narrative study of articles indexed in PubMed, Medline, SciELO, and Google Scholar, in English and Spanish language, published between 2008 and April 2020 that contain in their title the keyword postpartum hemorrhage (MeSH) associated with uterine tamponade with hydrostatic balloon, Bakri balloon and uterine atony. RESULTS: 10,984 articles where identified with the key word “obstetric hemorrhage”, when associated with “intrauterine tamponade” they were reduced to 471 references with the final inclusion of 85 after fulfilling the requirements of the authors and 386 articles were excluded. CONCLUSIONS: The use of intrauterine tamponade devices with hydrostatic balloons, due to their high clinical efficiency, accessible cost, easy application, minimal complications, and scarce contraindications, should be a part the management protocols and always be available in all the different scenarios of obstetrical resolution, preserving its primary indication in persistent uterine atony, but expanding the possibilities of its use on placental bed bleeding, placenta previa, and in cases of specific placental acretism with segmental infiltration. It should be considered as a therapeutically approach, earlier post obstetrical event, as in the case of the first uterotonic agent failure, and in selected cases of high-risk for obstetric hemorrhage as a prophylactic procedure.