الفهرس | Only 14 pages are availabe for public view |
Abstract OBJECTIVE: To assess the efficacy of uterine tamponade using condom catheter balloon in treatment of atonic postpartum hemorrhage (PPH). DESIGN: Randomized prospective case control trial. SETTING: Ain Shams University Maternity Hospital. POPULATION: Two groups of women, who presented postpartum hemorrhage refractory to first-line treatment (uterine massage and oxytocin). METHODS: Uterine balloon tamponade with a condom catheter was applied in women who were unresponsive to uterotonics and bimanual compression; patients with successful catheter placement were included in analyses. The primary outcome was successful control (reduction or cessation) of bleeding. RESULTS: There was less blood loss in the study group when compared to control group, However the difference was statistically insignificant (p-value = 0.181).There was also less time to control bleeding in the study group when compared to control group, However the difference was statistically insignificant (p-value = 0.076). Regarding success rate, the success rate in the study group was high when compared with the control group but still statistically insignificant (p-value = 0.026). CONCLUSIONS: Condom catheters control PPH effectively and quickly. It is a simple, inexpensive and safe method of conserving the reproductive capacity along with saving the life of women with primary PPH. KEYWORDS: Balloon tamponade; Condom catheter; Postpartum hemorrhage; Uterine balloon tamponade; Uterine tamponade |