Evaluating condom catheter balloon tamponade in non-traumatic postpartum haemorrhage resistant to medical management

Ahmad, Syed Nawaz; Seth, Sunita; Agarwal, Shefali; Choudhary, Swati

doi:10.18203/2320-1770.ijrcog20161681

Cited by 3 publications

(6 citation statements)

References 3 publications

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“…12 In the study by Ahmad SN et al, the mean time taken to arrest bleeding after the application of the CC was 6.66 minutes. 16 In my study the mean Hemostasis interval in 86.5% cases with PPH controlled was 12.69 minutes and the 13.5% cases in with PPH not controlled was 22.96 minutes. In the latter group, 2.5% cases ended in hysterectomy.…”

Section: Resultsmentioning

confidence: 60%

“…In study by Thapa K et al, CC was applied to fourteen cases with varying degrees of PPH, not controlled with pharmacologic measures. 15 Average amount of blood loss was 1221ml and it was 1480ml in study conducted by Ahmad SN et al 16 In a study of case series by Mishra N et al, the mean blood loss was 1611ml. 12 In the study by Ahmad SN et al, the mean time taken to arrest bleeding after the application of the CC was 6.66 minutes.…”

Section: Resultsmentioning

confidence: 95%

“…In study by Moushmi B et al, the average duration for CC in situ was 30 hours 14 minutes. 11 The CC in situ for a mean duration of 19.94±3.84 hours in the study by Ahmad SN et al 16 Minimum duration for keeping CC in situ was 13 hours and the maximum was 24 hours. In a study of case series by Mishra N et al, CC in situ for at least 12-24 hours.…”

Section: Resultsmentioning

confidence: 96%

“…In study conducted by Tort J et al, the average fill volume was 443.3ml. 9 However, the mean volume of fluid used to create tamponade was 381.06 ml in the study by Ahmad SN et al 16 In the study conducted by Martin E et al, uterine tamponade was used in 49 women; 61% after vaginal delivery and 39% after cesarean section. 14 The overall success rate was 65%.…”

Section: Resultsmentioning

confidence: 99%

“…13 However, In study by Ahmad SN et al CC successfully controlled haemorrhage in 31 out of 33 patients. 16 In both the failed cases, hysterectomy was required (6%). However, in my study CC controlled PPH in 95 cases including 27 cases with Misoprostol failure and it failed in 5 cases for which hysterectomy was done.…”

Section: Resultsmentioning

confidence: 99%

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A prospective randomized comparative study of Misoprostol and balloon tamponade using condom catheter to prevent postpartum hemorrhage at M. Y. H., Indore, India in vaginal delivered patients

Yadav

Malhotra

2019

Int J Reprod Contracept Obstet Gynecol

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Background: PPH is responsible for quarter of maternal deaths occurring worldwide and its incidence is increasing in developed world. According to Confidential Enquiries into Maternal and Child Health (CEMACH) report obstetric hemorrhage occurs in around3.7 per 1000 births. The objective of the study is that it was a prospective randomized comparative study of misoprostol and balloon tamponade via condom catheter to prevent postpartum hemorrhage in normal delivered patients at MYH.Methods: A sample size of 200 normal delivered patients between age group 18 and 45 years is chosen with excessive bleeding after third stage of labour and after administration of oxytocics. These 200 patients are divided into two groups: First group receiving Misoprostol and applying condom catheter in other group. Both groups are evaluated for PPH.Results: It was found that CG balloon condom catheter was a much better and more effective alternative in controlling PPH than Misoprostol as the failure rate with CG balloon condom catheter were much less than that with misoprostol. Due to its cost effectiveness and being easily available at primary health center and due to absence of any drug reactions and easy technique of formation makes it a better modality in controlling PPH even at PHC.Conclusions: Patients with condom catheter in situ must show better result than patients receiving misoprostol.

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Section: Resultsmentioning

confidence: 60%

Section: Resultsmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A prospective randomized comparative study of Misoprostol and balloon tamponade using condom catheter to prevent postpartum hemorrhage at M. Y. H., Indore, India in vaginal delivered patients

Yadav

Malhotra

2019

Int J Reprod Contracept Obstet Gynecol

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Uterine balloon tamponade for the treatment of postpartum hemorrhage: a systematic review and meta-analysis

Suárez

Conde-Agudelo

Borovac-Pinheiro

et al. 2020

American Journal of Obstetrics and Gynecology

118

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Impact of condom balloon tamponade on the rate of obstetric hysterectomy: a ten-year study

Roy¹,

Mishra²,

Sai³

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: The objective of this present study was to assess the efficacy of condom uterine balloon tamponade (C-UBT) in averting the obstetric hysterectomy (OH) in cases of major postpartum haemorrhage (PPH) over a period of 10 years.Methods: A retrospective cohort study from January 2010 to December 2019. A historical cohort was drawn from a group of women who had OH for major PPH between Jan 2010 to December 2014 (Group 1) whereas those from January 2015 to December 2019 were designated as Group 2. Total 305 C-UBT were used in the later period. Women who had OH at <28 weeks were excluded from the study. Primary outcome was to determine the efficacy of C-UBT in averting the risk of OH. Secondary objective was to determine the success rate of C-UBT after five years of useResults: Total 37463 births occurred from January 2010 to December 2014 and 38808 during January 2015 to December 2019. Cases of OH were 33 in the first five years period (Group 1) and 20 in the later (Group 2), p=<05, odds ratio=0.58 with 95% CI 0.335-1.019 favoring C-UBT. After exclusion of rupture uterus and placenta accreta syndrome, OH for uterine atony alone were 22 (66.6%) for Group 1 and 08 (40%) for Group 2, P=0.01 odds ratio=0.350 (95% CI 0.156-0.788). No OH was done in group 2 for placenta previa. Efficacy of C-UBT was 96%.Conclusions: C-UBT is very safe, cheap and effective option for averting OH and associated physical, emotional and psychosocial morbidity.

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Evaluating condom catheter balloon tamponade in non-traumatic postpartum haemorrhage resistant to medical management

Cited by 3 publications

References 3 publications

A prospective randomized comparative study of Misoprostol and balloon tamponade using condom catheter to prevent postpartum hemorrhage at M. Y. H., Indore, India in vaginal delivered patients

A prospective randomized comparative study of Misoprostol and balloon tamponade using condom catheter to prevent postpartum hemorrhage at M. Y. H., Indore, India in vaginal delivered patients

Uterine balloon tamponade for the treatment of postpartum hemorrhage: a systematic review and meta-analysis

Impact of condom balloon tamponade on the rate of obstetric hysterectomy: a ten-year study

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