DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20173465

Intrauterine condom catheter tamponade in the management of atonic postpartum haemorrhage: a case series from a tertiary care centre in Central India

Moushmi B. Parpillewar, Shalini S. Fusey

Abstract


Background: Postpartum haemorrhage (PPH) is the leading cause of maternal mortality worldwide with a prevalence rate of approximately 6% and 50% is due to atonic PPH. According to WHO 2014-  in India 45,000 maternal deaths take place annually and 20-60% are due to postpartum hemorrhage. Various medical and surgical methods are available. Uterine balloon tamponade is one of the methods reported increasingly with good success rates avoiding surgical morbidity.

Methods: Prospective data of all women who went into atonic primary PPH after 28 weeks of gestation was collected over a period of one year.

Results: Out of the 252 women who had atonic PPH, 23 were inserted with condom balloon catheter after medical management. Success rate was 18/23 (78.2%).

Conclusions: Condom catheter is a non-invasive, effective, conservative method of PPH management.  In cases of failure it provides a temporary tamponade effect and time to prepare for other interventions.


Keywords


Condom catheter, Maternal death, Postpartum haemorrhage, Tamponade

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