Various Modifications of Condom Balloon Tamponade and their Method, Efficacy, Outcomes in Management of Atonic Postpartum Hemorrhage in Tertiary Care Centre- A Observational Study
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 5
Abstract
Background: There are many types of uterine tamponades with uterine drainage port. Among them, the condom catheter seems to be an efficient, easy available and economic intervention for the treatment of PPH in lowresource countries. The aim of this study to evaluated the method, efficacy and outcomes of Atonic PPH with various types of Condom balloon tamponade. Material & Methods: Our study was a prospective interventional study conducted at a tertiary care centre SMS medical college jaipur, India from January 2017 to October 2017. All patients who delivered vaginally and those who developed non-traumatic postpartum haemorrhage not responding to medical management were included in this study. These 30 cases were divided into 3 groups: Group I- managed by conventional CBT, Group II- managed by CBT with tip cut & Group III- managed by chattisgarh CBT i.e. CG-Balloon. All three groups were compared according to their time comsumption, cost effectiveness, chances of slippage and leakage, deflation, blood loss , success rate, advantages and disadvantages etc. Results: The age of the patients ranged from 18-40 years, with the mean age group of 20-30 years. PPH occurred mostly in women of 2-4 parity. In antenatal care the 63% of the women reported to have PPH were unbooked cases. Therefore, the fastest and easiest to assemble CBT was CBT with tipcut> CG-Balloon>Conv CBT. Out of 30 cases, 27 cases had successful tamponade and 69% of cases ie 23 cases needed continous oxytocin infusion for less than 12 hours. Conclusion: We concluded that balloon tamponade method should become a familiar component of existing guidelines for the management of PPH, although not as an isolated form of therapy and modification of conventional CBT should be used as a second line of management in Atonic PPH
Authors and Affiliations
Dr Megha Agrawal
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