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 and
in 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 primary
postpartum hemorrhage.
Material and Method: This study was conducted in Saidu group of teaching hospital, swat from 1st august 2018 to 31st July
2019. All the patient with Primary postpartum hemorrhage were included in the study. All patients were first managed by
medical therapy and when the medial therapy failed then balloon catheter tamponade were introduced and patients were
noticed 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 no
significant 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 to
uterine atony. It should be tried before preceding to other Surgical management like Be-lynch, uterine artery ligation or
hysterectomy in cases of medical therapy failure.
Key Words: primary postpartum hemorrhage, Medical Management, Condom catheter, Response rate.