The use of the condom-catheter for the treatment of postpartum haemorrhage – the Sokoto experience

Abstract

Postpartum haemorrhage (PPH) is the most common cause of maternal mortality globally. In about 50% of cases PPH is due to uterine atony. When conservative and medical methods of treating PPH due to uterine atony fail, surgical intervention is required to save the woman's life. As an alternative in such cases, intrauterine tamponade has been used successfully to stop bleeding, thus avoiding surgery. We report four cases of PPH due to uterine atony in which intrauterine tamponade with an inflated condom was effective in arresting haemorrhage. We advocate the use of a similar device in carefully selected cases, especially in low-resource settings.

An approach to diagnosis and management of acute fatty liver of pregnancy

“…In such a situation, internal compression by balloon tamponade using a Foley's catheter and condom is quite effective in controlling the hemorrhage. 12,13 After delivery, the patients usually improve in 24-48 hours but it may take many days before the liver functions return to normal.…”

Uterine Atony: Management Strategies

“…It was hypothesised that intrauterine balloon exert hydrostatic pressure on the uterine arteries resulting in reduced blood loss (Georgiou, 2009). The most commonly described balloon devices are Bakri balloon, Rusch catheter, Sengstaken-Blackmore catheter, Foley catheter and Condom catheter (Airede & Nnadi, 2008;Keriakos & Mukhopadhyay, 2006;Marcovici & Scoccia, 1999;Majumdar et al, 2010;Vitthala et al, 2009). …”

Intra uterine condom balloon tamponade-a life saving measure in atonic pph

“…Among the type of balloons used to produce tamponade are Sengstaken-Blackmore tube 13,14 -the Rush catheter 15 , the Bakri tamponade balloon catheter 16,17 and the male condom balloon catheter 18,19,20 .…”