INTRAUTERINE BALLOON TAMPONADE CONDOM FOLEY'S CATHETER VS CG BALLOON CATHETER IN MANAGEMENT OF ATONIC PPH IN A TERTIARY CARE HOSPITAL OF RAJASTHAN

Preeti Baghel, Urmila Mahla, Seema Mehta, Manju Sharma

Abstract


Introduction: Uterine balloon tamponade technology is nowadays popularly used to control post partum haemorrhage. Among various methods,
Foley’s catheter tamponade is simple,
easy to use and is effective. The study evaluates outcome of Foley’s catheter tamponade.
Material and Methods: In this prospective observational study, foley’s catheter tamponade was applied to twelve cases with post partum
hemorrhage of different severity, refractory
to all pharmacologic measures. The effciency of the Balloon Tamponade Technology in the management of severe PPH was assessed along with
any complications.
Results: The foley’s catheter tamponade stopped bleeding in all the cases. Only two cases showed evidence of sepsis.
Conclusions: Thus, foley’s catheter tamponade is an effective method to control intractable PPH. It is an easy procedure which does not require
expertise to use. Hence it proves to an invaluable tool, especially in places with low resource settings.


Keywords


Balloon Tamponade, Intrauterine, Post Partum Haemorrhage

Full Text:

PDF

References


http://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/

Mishra, Nalini Kant et al. “The CG balloon is an innovative condom balloon tamponade for the management of postpartum hemorrhage in low-resource settings.” International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 133 3 (2016): 377-8.

Lalonde A, Daviss BA, Acosta A, HerschderferK.Postpartumhaemorrhage today: ICM/FIGO initiative2004–2006. Int J Gynaecol Obstet. 2006;94:243–253.

World Health Organization. Attending to 136 millionbirths, every year: Make every mother and child count:Chapter 4: Risking death to give life. The World HealthReport 2005. Geneva: WHO, 2005.

John S, Seang LT et al. Post partum uterine atony. Progressin obstetrics and Gynaecology. 2007;17:264-74.

Doumouchtsis SK, Papageorghiou AT, ArulkumaranS. Systematic Review of Conservative Management ofPostpartum Hemorrhage: What to Do When MedicalTreatment Fails. ObstetGynecolSurv. 2007;62:540–547.

Royal College of Obstetricians and GynaecologistsGreentop Guideline No. 52.Prevention and management ofpostpartumhaemorrhage. London: RCOG, 2009.

Georgiou C. Balloon tamponade in the management ofpostpartumhaemorrhage: a review. BJOG. 2009;116:748–757.

Bagga R, Jain V, Sharma S, Suri V. Postpartum hemorrhagein two women with impaired coagulation successfullymanaged with condom catheter tamponade. Indian J Med

Sci. 2007;61:157–8.

World Health Organization (WHO). World Health Report2005: make every mother and child count. 2005. Geneva,Switzerland: World Health Organization

Dabelea V, Schultze PM, Duffe RS Jr. Intra uterine balloontamponade in the management of postpartum hemorrhage.Am J Perinatol. 2007;24:359-64. .

Johanson R, Kumar M, Obharai M, Young P. Managementof massive postpartum hemorrhage: use of a hydrostaticballoon catheter. BJOG. 2001;108:420-2.

Doumouchtisis SK, Papageorghiou AT, VernierC,Arulkumaran S. Management of postpartum hemorrhageby uterine balloon tamponade: prospective evaluation of

effectiveness. ActaobstetGynecol Scand. 2008;87:849-55.

Yorifuji T, Tanaka T, Makino S, Koshiishi T, Sugimura M, Takeda S. Balloon tamponade in atonic bleeding induces uterine contraction: attempt to quantify uterine stiffness using acoustic radiation force impulse elastography before and after balloon tamponade. ActaObstetriciaetGynecologicaScandinavica. 2011;90(10):1171–1172.


Refbacks

  • There are currently no refbacks.