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Indian Journal of Maternal-Fetal & Neonatal Medicine 13(1):p 15-17, January-June 2026. | DOI: https://doi.org/10.21088/ijmfnm.2347.999X.13126.2
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Innovations in Obstetric Hemorrhage Management: The Evolution of Transvaginal Bakri Balloons and Butterfly Devices
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator
Indian Journal of Maternal-Fetal & Neonatal Medicine 13(1):p 15-17, January-June 2026. | DOI: https://doi.org/10.21088/ijmfnm.2347.999X.13126.2
How Cite This Article:
Dinesh K. Innovations in Obstetric Hemorrhage Management: The Evolution of Transvaginal Bakri Balloons and Butterfly Devices. Indian J Matern Fetal Neonatal Med. 2026; 13(1): 15-17.Timeline
Received : May 12, 2026
Accepted : June 08, 2026
Published : June 30, 2026
Abstract
Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality globally. Despite advancements in pharmacological interventions, mechanical tamponade remains a cornerstone of conservative management for uterine atony and refractory bleeding. This article examines the clinical efficacy, technical application, and comparative advantages of the Bakri Postpartum Balloon (BPB) and the emerging “Butterfly” vacuum-induced uterine tamponade (VIUT) devices. By evaluating recent clinical data and standardized obstetric protocols, this paper argues that the transition from passive hydrostatic pressure (Bakri) to active vacuum-assisted suction (Butterfly/Jada) represents a paradigm shift in the management of refractory PPH, potentially reducing the need for invasive surgical interventions such as hysterectomy.
References
- 1. American College of Obstetricians and Gynecologists. (2017). Postpartum Hemorrhage: ACOG Practice Bulletin, Number 183. Obstetrics & Gynecology, 130(4), e168–e186.
- 2. Bakri, Y. N., Amri, A., & Abdul Jabbar, F. H. (2001). Tamponade-balloon for obstetrical bleeding. International Journal of Gynaecology & Obstetrics, 74(2), 139–142.
- 3. Dildy, G. A., Belfort, M. A., Adair, C. D., et al. (2020). Initial evaluation of a novel vacuuminduced device for treatment of postpartum hemorrhage. American Journal of Perinatology, 37(2), 173–180.
- 4. Dixon, S., & McKenzie, C. (2021). Comparative analysis of uterine tamponade devices in the management of postpartum hemorrhage. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 50(3), 321–334.
- 5. Matsubara, S., Yano, H., Ohkuchi, A., et al. (2015). Bakri balloon tamponade in the management of postpartum hemorrhage: A review of the literature. Journal of Obstetrics and Gynaecology Research, 41(1), 1–7.
- 6. PEARLE Trial Group. (2020). Efficacy and safety of the Jada System for postpartum hemorrhage: A multicenter, prospective cohort study. Maternal-Fetal Medicine, 22(4), 445–458.
- 7. World Health Organization. (2019). WHO recommendations: Uterine balloon tamponade for the treatment of postpartum haemorrhage. Geneva: WHO Press.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Dinesh K. Innovations in Obstetric Hemorrhage Management: The Evolution of Transvaginal Bakri Balloons and Butterfly Devices. Indian J Matern Fetal Neonatal Med. 2026; 13(1): 15-17.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator
| Received | Accepted | Published |
|---|---|---|
| May 12, 2026 | June 08, 2026 | June 30, 2026 |
DOI: https://doi.org/10.21088/ijmfnm.2347.999X.13126.2
Keywords
Postpartum HemorrhageUterine Balloon TamponadeBakri BalloonButterfly DeviceObstetric HemorrhageMaternal MortalityUterine AtonyTransvaginal DevicePPH ManagementMechanical TamponadeSearch for Similar Articles
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Timeline
| Received | May 12, 2026 |
| Accepted | June 08, 2026 |
| Published | June 30, 2026 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator
