Efficacy of Condom Balloon Tamponade in Management of Primary Postpartum Hemorrhage

Abstract

Background: Primary postpartum hemorrhage has a significant effect on maternal morbidity and mortality. Proper treatment andin time management of the patient have showed to decrease this morbidity and mortality a lot.Objective: The objective of our study is to find out the efficacy of balloon tamponade in the management of primarypostpartum hemorrhage.Material and Method: This study was conducted in Saidu group of teaching hospital, swat from 1st august 2018 to 31st July2019. All the patient with Primary postpartum hemorrhage were included in the study. All patients were first managed bymedical therapy and when the medial therapy failed then balloon catheter tamponade were introduced and patients werenoticed for stoppage of bleeding within few minutes.Result: Mean age was 27.04±5.42 years. 72 patients failed from medical therapy which was managed by condom tamponade.The response rate of condom tamponade in these 72 patient was 69 (95.83%) while 3 (4.17%) did not respond. There was nosignificant effect of age, gravida on the response rate of Balloon tamponade.Conclusion: The response rate to Balloon Catheter tamponade is high in patient with Primary postpartum hemorrhage due touterine atony. It should be tried before preceding to other Surgical management like Be-lynch, uterine artery ligation orhysterectomy in cases of medical therapy failure.Key Words: primary postpartum hemorrhage, Medical Management, Condom catheter, Response rate.

Balloon Tamponade for Refractory Management of Postpartum Haemmorrhage at Lady Reading Hospital Peshawar

“…A study19 showed that the atonic uterus was the most common etiology of PPH, accounting for 65.67%, while our results demonstrated the atonic uterus in 61% of patients. Another study reported genital tract trauma as the second leading cause of PPH in their study (Begam et al, 2021), which was also similar to our findings of 25.2%. Balloon tamponade was successful in 89.8% of patients in our study, while the procedure failed in 10.2%.…”

“…A study conducted in Pakistan reported that balloon tamponade was effective in 88.8% of patients with PPH (Akhtar et al, 2020). The aforementioned study (Begam et al, 2021), also conducted in Pakistan, reported the efficacy of balloon tamponade at 95.83% in PPH patients.…”