M
Maiju Grönvall
Researcher at University of Helsinki
Publications - 6
Citations - 168
Maiju Grönvall is an academic researcher from University of Helsinki. The author has contributed to research in topics: Tamponade & Bakri balloon. The author has an hindex of 4, co-authored 6 publications receiving 144 citations. Previous affiliations of Maiju Grönvall include Helsinki University Central Hospital.
Papers
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Journal ArticleDOI
Use of Bakri balloon tamponade in the treatment of postpartum hemorrhage: a series of 50 cases from a tertiary teaching hospital.
TL;DR: Bakri balloon tamponade (BBT) is a simple, readily available, effective and safe procedure for the management of PPH in selective cases and should be included in the PPH protocol.
Journal ArticleDOI
Use of Bakri Balloon Tamponade in the Treatment of Postpartum Hemorrhage: A Series of 50 Cases from a Tertiary Teaching Hospital
Abstract: Objective. Massive postpartum hemorrhage (PPH) is one of the most serious complications during delivery. Hysterectomy is commonly performed when other conventional treatment attempts fail. Bakri balloon tamponade (BBT) is a novel conservative management option for PPH. Little is known of the effectiveness of this procedure. We report a large case series from a tertiary teaching hospital. Design. Retrospective case series (October 2008–June 2011). Setting. University teaching hospital. Population. Forty-four women with massive PPH (blood loss >1000 mL) and six other women with expected high risk of PPH (blood loss <1000 mL) managed by BBT. Methods. Chart review. Main outcome measures. Achievement of definitive hemostasis by BBT among the study population. Results. Among the women treated with BBT, the cause of PPH was uterine atony (16%), cervical rupture (14%), vaginal rupture and/or paravaginal hematoma (22%), placenta previa (18%) and placental retention (30%). The overall success rate was 86%. Seven of the 50 patients needed additional procedures. Of the seven failures, supravaginal uterine amputation or hysterectomy was required in four cases and embolization of the uterine arteries in three cases. Conclusions. BBT is a simple, readily available, effective and safe procedure for the management of PPH in selective cases. BBT does not exclude the use of other procedures if necessary. Even if BBT failed, it may provide temporary tamponade and time to prepare for other interventions or transportation from local hospital to tertiary centre. We suggest that BBT should be included in the PPH protocol. Abbreviations: BBT, Bakri balloon tamponade; CS, cesarean section; PPH, postpartum hemorrhage.
Journal ArticleDOI
Pelvic arterial embolization in severe obstetric hemorrhage
Maiju Grönvall,Minna Tikkanen,Maarika Metsätähti,Mikko Loukovaara,Jorma Paavonen,Vedran Stefanovic +5 more
TL;DR: It is concluded that PAE is a safe and effective procedure for PPH and may prevent hysterectomy.
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Major or minor placenta previa: Does it make a difference?
TL;DR: Both major and minor placenta previa are risk factors for abnormally invasive placente and should be treated as severe conditions.
Journal ArticleDOI
Reply: Bakri balloon tamponade for postpartum hemorrhage.
TL;DR: Stitely ML, Cerbone L, Nixon A, Bringman JJ as mentioned in this paper assessed a simulation training exercise to teach intrauterine tamponade for the treatment of postpartum hemorrhage.