Post hoc analysis analyzing only women who underwent cesarean hysterectomy also demonstrated no difference in primary outcome or EBL
The balloon group experienced significantly higher
Hospitalization costs: $7456 vs $4803 (P<.01)
Incidence of postoperative fever: 18% vs 2%; relative risk (RR) 10.8 (95% CI, 1.3 to 88.5, P=.02)
Authors recognize limitations
Study not blinded and could introduce bias as surgeons determine need for transfusion
For women with placenta previa and suspected placenta accreta, intraoperative balloon occlusion of the internal iliac arteries did not result in a decrease in the number of packed RBC units transfused and may be associated with increased incidence of post-op fever
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