An observational study to compare between conventional condom balloon catheter with CG balloon


  • Somila Xess Department of Obstetrics and Gynecology, GMC, Ambikapur, Chhattisgarh
  • Preeti Baghel Department of Obstetrics and Gynecology, SMS Medical College, Jaipur, Rajasthan, India



CG balloon, Conventional balloon tamponade, PPH


Background: Postpartum haemorrhage (PPH) is a life-threatening complication of delivery. The most common cause of PPH is uterine atony. Intrauterine balloon tamponade has been suggested as an effective, easily administered minimally invasive treatment option to control uterine bleeding while preserving the mother’s ability to bear additional children.

Methods: Twenty women with normal vaginal delivery were studied over a period of six months, 10 were inserted conventional balloon tamponade and rest 10 were inserted CG balloon and outcome studied in terms of time to assemble, leakage, expulsion, lumen occlusion, volume of fluid used, time to arrest bleeding, cost, drainage port, inflation deflation interval.

Results: Most of the women were para 4 or more, unbooked belonging to age group of 20-30. Mean time to assemble Condom balloon tamponade was 1.8min   and that in CG balloon was 1.2 minute. There was leakage and expulsion in two and lumen occlusion in three in the conventional balloon catheter. In the second group there was  no leakage ,lumen occlusion  or expulsion . There is uterine drainage port present in CG balloon which is characteristic of it which helps in determining the actual blood loss in real time. The inflation deflation interval and mean volume of fluid are almost same in both the groups.

Conclusions: Both conventional balloon and CG balloon are effective and lifesaving in low resource setting with few advantages of CG balloon over conventional balloon tamponade.


World Health Organization (WHO). WHO recommendations for the prevention and treatment of postpartum haemorrhage. Geneva: World Health Organization (WHO); 2012.

FIGO. FIGO guidelines: prevention and treatment of postpartum hemorrhage in low-resource settings. Int J Gynaecol Obstet. 2012;117:108-18.

Georgiou C. A review of current practice in using Balloon Tamponade Technology in the management of postpartum haemorrhage. Hypertens Res Preg. 2014;2:1-10.

Mishra N, Agrawal S, Gulabani K, Shrivastava C. Use of an innovative condom balloon tamponade in postpartum haemorrhage: a report. J Obstet Gynecol India. 2016;66(1):63-7.

Dalia Y, Agrawal M, Sharma A. Various modifications of condom balloon tamponade and their method, efficacy, outcomes in management of atonic postpartum hemorrhage in tertiary care centre-a observational study. JMSCR. 2018;6(5):482-9.

Rathore AM, Gupta S, Manaktala U, Gupta S,Dubhey C, Khan AM. Uterine tamponade using condom catheter balloon in the management of Nontraumatic postpartum haemorrhage. J Obstet Gynaecol Res. 2012;38:1162.

Tattersall M, Braithwaite W. Balloon tamponade for vaginal lacerations causing severe postpartum haemorrhage. BJOG: Int J Obstet Gynaecol. 2007;114 (5):647-8.

Bakour SH, Thompson PK, Khan KS. Successful conservative management of cervical ectopic pregnancy with combination of methotrexate, mifepristone, surgical evacuation and tamponade using a double balloon three-way catheter. J Obstet Gynaecol. 2005;25(6):616-8.

Kolomeyevskaya NV, Tanyi JL, Coleman NM, Beasley AD, Miller HJ, Anderson ML. Balloon tamponade of hemorrhage after uterine curettage for gestational trophoblastic disease. Obstet Gynecol. 2009;113(2):557-60.

Yadav S, Malhotra A. Novel use of balloon tamponade saves a patient with uterine inversion in severe shock. Int J Reprod Contracept Obstet Gynecol. 2017;6:5638-41.

Makin J, Suarez-Rebling DI, Varma Shivkumar P, Tarimo V, Burke TF. Innovative uses of condom uterine balloon tamponade for postpartum hemorrhage in India and Tanzania. Case Reports Obstet Gynecol. 2018;2018.






Original Research Articles