Intrauterine balloon tamponade in the management of atonic postpartum haemorrhage: case study from a tertiary care hospital

New Indian Journal of OBGYN

article

Rupali A Gaikwad¹  Shrinivas N Gadappa¹ 

[1] Department of Obstetrics and Gynecology, Government Medical College

关键词: Uterine balloon tamponade;    atonic PPH.;   

DOI  :  10.21276/obgyn.2021.7.2.7

学科分类：社会科学、人文和艺术（综合）

来源: Barpeta Obstetrics and Gynaecological Society

【 摘 要 】

Objective: Objective of the study was to study the efficacy of condom tamponade to arrest bleeding in cases of atonicpostpartum haemorrhage (PPH) unresponsive to uterotonics. Methods: We conducted prospective observationalstudy, in the Department of Obstetrics and Gynecology of Govt. Medical college & hospital, Aurangabad for 2 yrs.UBT (uterine balloon tamponade) was applied to women who developed atonic PPH following childbirthunresponsive to uterotonics. UBT was inflated with normal saline. Clinical success was defined as control of bleedingfollowing balloon insertion without further intervention. Results: Out of the 385 women who had atonic PPH, 63were managed with insertion of condom balloon catheter after failed medical management. Success rate was 61 out of63 cases (96.8%). In 3 cases bleeding persisted even after 30 minutes and surgical intervention done for 2 of the 3cases; in the third patient bleeding was arrested 30 minutes after tamponade application (1.63%). In 9 (14.2%) patientsUBT was expelled spontaneously within 6 hours, out of it 2 required further surgical intervention due to uncontrolledPPH. In 93.6% cases bleeding got controlled within 15 -30 mins of condom tamponade insertion, the balloon wasinflated for an average of 18 hours before removal. Conclusions: Condom catheter is a noninvasive, effective,conservative method of PPH management. In cases of failure it provides a temporary tamponade effect and time toprepare for other interventions.

【 授权许可】

CC BY-NC-SA