Response to letter to the editor “Prophylactic use of Bakri balloon for reduction of hemorrhage at cesarean for placenta previa: addition and clarification”

Response to letter to the editor “Prophylactic use of Bakri balloon for reduction of hemorrhage... Arch Gynecol Obstet (2017) 296:615 DOI 10.1007/s00404-017-4476-8 CORRESPONDENCE Response to letter to the editor “Prophylactic use of Bakri balloon for reduction of hemorrhage at cesarean for placenta previa: addition and clarification” 1 1 1 Hiroaki Soyama  · Morikazu Miyamoto  · Kenichi Furuya   Received: 16 July 2017 / Accepted: 21 July 2017 / Published online: 26 July 2017 © Springer-Verlag GmbH Germany 2017 Dear Editor, balloon in placenta previa during a cesarean section is effective for the reduction of both intraoperative and post - We appreciate the opportunity to address the comments and partum hemorrhage. concerns expressed by Dr. Matsubara. In particular, among Author contribution HS: manuscript writing. MM: manuscript the suggestions made, we need to take measures to prevent editing. KF: supervise. balloon prolapse. Actually, 10% of cases experienced balloon prolapse Compliance with ethical standards in our study [1]. Fortunately, postpartum hemorrhage was controlled in all cases, by re-insertion of the Bakri balloon Conflict of interest The authors declare no conflict of interest. without additional hemostatic measures. However, we were Ethical approval This article does not contain any studies with concerned about the potential need to manage a difficult human participants or animals performed by any of the authors. case through re-insertion of a Bakri balloon during and after cesarean section. Furthermore, the most important point is prevention of a balloon prolapse. Dr. Matsubara suggested a “holding the cervix technique”, using a sponge References forceps to close the cervix and prevent balloon prolapse 1. Soyama H, Miyamoto M, Sasa H, Ishibashi H, Yoshida M, after cesarean section and a “fishing method”, in which the Nakatsuka M et  al (2017) Effect of routine rapid insertion of balloon is held by a thread to prevent balloon prolapse dur- Bakri balloon tamponade on reducing hemorrhage from placenta ing cesarean section. These simple methods are noninva- previa during and after cesarean section. Arch Gynecol Obstet. sive, innovative [2, 3], and may resolve our most concern- doi:10.1007/s00404-017-4446-1 (early view) 2. Matsubara S, Baba Y, Takahashi H (2015) Preventing a Bakri ing problem. balloon from sliding out during “holding the cervix”: “fishing for We thank Dr. Matsubara for the interest in our original the balloon shaft” technique (Matsubara). Acta Obstet Gynecol article. We will consider applying these methods in the Scand 94:910–911 future study. We believe that prophylactic use of a Bakri 3. Matsubara S, Baba Y, Morisawa H, Takahashi H, Lefor AK (2016) Maintaining the position of a Bakri balloon after cae- sarean section for placenta previa using an abdominal traction stitch. Eur J Obstet Gynecol Reprod Biol 198:177–178 * Hiroaki Soyama Department of Obstetrics and Gynecology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan Vol.:(0123456789) 1 3 Archives of Gynecology and Obstetrics Springer Journals

Response to letter to the editor “Prophylactic use of Bakri balloon for reduction of hemorrhage at cesarean for placenta previa: addition and clarification”

1 page

Loading next page...
1 Page
Springer Berlin Heidelberg
Copyright © 2017 by Springer-Verlag GmbH Germany
Medicine & Public Health; Gynecology; Obstetrics/Perinatology/Midwifery; Endocrinology; Human Genetics
Publisher site
See Article on Publisher Site


You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial