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Volume 3
Midwifery and Gynaecology 2019
December 04-05, 2019
Page 14
Midwifery nursing and Gynaecology
December 04-05, 2019 | Dubai, UAE
Annual Congress on
J Nurs Res Pract, Volume 3 |
ISSN: 2632-251X
Journal of Nursing Research and Practice
Ferility-sparing surgical management of maternal hemorrhage
E
very day in the year 2015, about 830 women died of childbirth and pregnancy complications. Almost all
these deaths occurred in low resource settings, and most could have been prevented. The primary causes
of death were hemorrhage, hypertension and sepsis.The last two decades witnessed global efforts, including
Public Health, clinical, academic, administrative and socio-economic, to save lives at birth, worldwide.
In a developing country, the risk of a woman dying of a maternal-related cause during her lifetime is about
33 times higher, compared to a woman living in a developed country. The number of women dying of
complications during pregnancy and childbirth has decreased by 43%, from an estimated 532,000 deaths
in the year 1990, down to 303,000 deaths in the year 2015, a testimonial that Global collaborative efforts
“work”. Progress was achieved in the management of maternal Postpartum Hemorrhage (PPH) of vaginal
birth and Cesarean section; however, less progress was attained in case of Pregnancy-related bacterial sepsis,
including Puerperal sepsis and post-abortion sepsis, particularly unsafe abortion’s intra-uterine infection.
Sepsis is one of the leading causes of maternal mortality, worldwide.
Introduced in the year 1999, Bakri SOS Tamponade Balloon, was the First uterine tamponade balloon system
for the treatment of PPH. Multiple other devices followed, including: condom catheters, BT-Cath, ESM-
UBT, Ebb balloon and Zhukovsky balloon. Successful outcome (hemorrhage control) without the need
for additional treatments such as embolization, B-lynch compression, B-LUVS sutures, uterine-hypogastric
artery ligation, hysterectomy were reported. All other treatments except embolization, required an open
laparotomy surgery to control PPH. Tamponade devices’ complications of migration/expulsion, rupture/
leakage, uterus perforation and infection were reported.
Biography
Younes Bakri is an obstetrician-gynecologist in Macon, Georgia and is affiliated with Navicent Health Medical Center. He received his med-
ical degree from Mercer University School of Medicine and has been in practice for more than 20 years. He accepts several types of health
insurance, listed below. He also speaks multiple languages, including Arabic.
bakri.balloon@bakrimedical.comYounes N Bakri
Navicent Health Medical Center, USA