<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2019000500728</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aplicación del Balón de Bakri ante hemorragia obstétrica postparto. Presentación de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Application of Bakri&#8217;s Balloon to postpartum obstetric hemorrhage. Case Presentation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Cabrera]]></surname>
<given-names><![CDATA[Yoan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Diaz Puebla]]></surname>
<given-names><![CDATA[Jorge Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abreus Castro]]></surname>
<given-names><![CDATA[Ana Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz Hernandez]]></surname>
<given-names><![CDATA[Marioly]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Materno Infantil  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2019</year>
</pub-date>
<volume>17</volume>
<numero>5</numero>
<fpage>728</fpage>
<lpage>733</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2019000500728&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2019000500728&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2019000500728&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La hemorragia obstétrica pos parto complica el 10,5 % de los nacimientos a nivel mundial y está relacionada con una elevada morbimortalidad perinatal. El manejo de esta complicación abarca el tratamiento médico y de ser refractario, habrá que recurrir a un tratamiento quirúrgico basado en taponamiento endouterino con gasas o balón, suturas compresivas uterinas, devascularización pelviana y la embolización arterial. Si todos estos procedimientos no tuvieran efectividad, entonces hay que realizar un tratamiento radical como la histerectomía obstétrica. Se presenta un caso de una gestante 37.5 semanas, nulípara, atendida en el Hospital Dr. Gustavo Aldereguía Lima de Cienfuegos. Se le induce el parto por rotura prematura de membranas, que evoluciona hacia la fase activa y se decide realizar parto instrumentado por fórceps para abreviar período expulsivo por variedad no fisiológica y alteración del bienestar fetal. Se extrae recién nacido femenino con peso de 4025 g, diagnosticándose hemorragia obstétrica mayor por atonía uterina, que no resuelve con el tratamiento médico convencional y se decide realizar manejo conservador del útero mediante compresión endouterina con balón de Bakri. Se logra contractilidad uterina y una evolución clínica satisfactoria. Este procedmimento quirúrgico se describió por primera vez a nivel mundial desde finales del siglo XX y es introducida en Cuba en el año 2016. La provincia de Cienfuegos ha implementado desde entonces estas prácticas conservadoras, logrando en el caso referido reducir la hemorragia, disminuir la morbimortalidad obstétrica y conservar la fertilidad en pacientes con paridad no satisfecha.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Obstetric hemorrhage after delivery complicates 10.5% of births worldwide and is related to high perinatal morbidity and mortality. Its management includes medical treatment and if refractory, it will be necessary to resort to a surgical treatment based on uterine tamponade with gauze or balloon, uterine compression sutures, pelvic devascularization and arterial embolization. If all these procedures are not effective, then a radical treatment such as obstetric hysterectomy should be performed. The case of a 37.5 week, nulliparous pregnant woman, attended at the Dr. Gustavo Aldereguía Lima Hospital in Cienfuegos is presented. Labor is induced due to premature rupture of membranes that evolves into the active phase and it is decided to perform instrumental delivery by forceps to shorten the expulsive period by non-physiological variety and alteration of fetal well-being. A female 4025 g weight newborn was obtained, with greater obstetric hemorrhage due to uterine atony, which does not resolve with conventional medical treatment and it was decided to perform conservative management of the uterus by means of Barki´s balloon uterine compression. Uterine contractility and a satisfactory clinical evolution are achieved. This surgical procedure was first described worldwide by the end of the 20th century and was introduced in Cuba in 2016. Since then, the Cienfuegos province has implemented these conservative practices. In the case presented it was possible to reduce bleeding. In addition it reduces obstetric morbidity and mortality and preserves fertility in the patient with unmet parity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hemorragia posparto]]></kwd>
<kwd lng="es"><![CDATA[terapéutica]]></kwd>
<kwd lng="es"><![CDATA[taponamiento uterino con balón]]></kwd>
<kwd lng="es"><![CDATA[informes de casos]]></kwd>
<kwd lng="es"><![CDATA[Cuba]]></kwd>
<kwd lng="en"><![CDATA[postpartum hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[therapeutics]]></kwd>
<kwd lng="en"><![CDATA[uterine balloon]]></kwd>
<kwd lng="en"><![CDATA[uterine balloon tamponade]]></kwd>
<kwd lng="en"><![CDATA[case reports]]></kwd>
<kwd lng="en"><![CDATA[Cuba]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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