Uterine tamponade using condom catheter balloon in the management of non‐traumatic postpartum hemorrhage

Abstract

Condom catheter balloon is effective in controlling non-traumatic PPH in 94% cases. It is effective, simple to use, easily available and is a cheap modality to manage non-traumatic postpartum hemorrhage, especially in limited resource settings.

A Randomized Controlled Trial to Test the Effectiveness of Intrautetine Balloon Tamponade with Condom Catheter in Severe Postpartum Hemorrhage Management: A Feasibility Study in Benin

“…The teams found assembling the condom catheter to be quick and easy, consistent with the literature [14,18]. Some staff was hesitant about changes caused by introducing the intrauterine balloon tamponade with condom catheter.…”

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

“…Rathore AM et al in their prospective study conducted from 2009 to 2012 at Maulana Azad Medical College New Delhi India, studied the efficacy of condom catheter tamponade in the management of non-traumatic PPH resistant to medical therapy in 18 patients with a success rate of 94%. 8 Lydia R et al successfully managed four cases of massive PPH due to uterine atony using condom catheter balloon tamponade. 9 The mean volume of fluid used to create tamponade and stop bleeding was 381.06 ± 81.18ml which was comparable to the studies by Akhtar S et al (mean reported fluid volume 336.4 ml) and Rather SY et al (mean reported volume 342.8ml).…”

“…8 While waiting for arrest of haemorrhage, simultaneous arrangements can be done to proceed to surgical measures. So waiting for 10 -15 minutes for the haemorrhage to stop while patient and operation theatre are prepared for laparotomy can be justified, when weighed against the radical procedures like hysterectomy.…”

Intra uterine condom balloon tamponade-a life saving measure in atonic pph

“…Rathore et al 27 reported success in 25 of 26 women with one failure for which emergency hysterectomy was done. Shivkar et al reported 5 failures in their study for which surgical intervention was done.…”

“…Shivkar et al 26 did not report the use of any uterotonics concurrent with condom catheter (n=73). In one successful case reported by Rathore, Manaktala et al 27 oxytocin was administered only during the removal of condom catheter.…”