Quick Reference Guide-Vaginal Delivery

1 Collapse Balloons 3 Inflate Uterine Balloon

4 Monitor Fill Volume

2 Insert Uterine Balloon

OR

5 Place Vaginal Balloon

“click” push forward

push down “click”

NOTE: If rapid removal is needed, cut catheter.

Collapse uterine balloon loosely around and over tip. Collapse vaginal balloon.

NOTE: Stopcocks are open in pack-age, and should remain open to release air

NOTE: In focal atony, fill volume may be less than in

global atony

NOTE: Use ultrasound during placement, fill, and

confirmation of placement

Close stopcocks. Use IV bag and spike or syringe and stopcocks. Fill incrementally until

desired volume.

NOTE: Max recommended fill volume is 750mL

Cup uterine balloon and insert through dilat-ed cervix to fundus or thread through cervix

to fundus.

Keep fingertips at cervix while filling to ensure balloon stays in place and is not overfilled.

7 Deflate / Remove6 Monitor Blood Loss

Unlock slider by pushing thumb clamp button forward until “click”. Adjust to desired

location. Lock by pushing down on thumb clamp button, then inflate.

Open stopcocks to remove fluid slowly. Titrate according to hospital protocol.

Use graduated container with drainage lumen to measure and monitor blood loss.

Global Atony Focal Atony

Quick Reference Guide- Cesarean Section3 Insert Uterine Balloon

7 Close Laparotomy

Thread uterine balloon through cervix to fundus.

Collapse uterine balloon loosely around and over tip. Collapse vaginal balloon.

9 Deflate / Remove8 Monitor Blood Loss

Close laparotomy in usual fashion. Open stopcocks to remove fluid slowly. Titrate according to hospital protocol.

Attach graduated container to drainage lumen to measure and monitor blood loss.

4 Inflate Uterine Balloon 6 Place Vaginal Balloon5 Fingers & Sutures

Close stopcocks. Use IV bag and spike or syringe and stopcocks. Fill incre-

mentally until desired volume.

Anchor uterine balloon by locking vaginal balloon in place and inflating

Keep fingers at cervix during inflation. Inflate incrementally, paying close atten-

tion to uterine distention

1 Close Hysterotomy 2 Collapse Balloons

Close uterine incision in usual fashion.

NOTE: If rapid removal is needed, cut catheter.

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NOTE: Ensure adequate dilation prior to insertion