scholarly journals Innovative Uses of Condom Uterine Balloon Tamponade for Postpartum Hemorrhage in India and Tanzania

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Jennifer Makin ◽  
Daniela I. Suarez-Rebling ◽  
Poonam Varma Shivkumar ◽  
Vincent Tarimo ◽  
Thomas F. Burke
Keyword(s):  
Postpartum Hemorrhage ◽  
Low Cost ◽  
Molar Pregnancy ◽  
Obstetric Hemorrhage ◽  
Maternal Deaths ◽  
Cervical Pregnancy ◽  
The Third ◽  
Balloon Tamponade ◽  
Uterine Balloon Tamponade ◽  
Women In India

Background. Postpartum hemorrhage is the most common cause of maternal deaths worldwide, the majority of which occur in low-resource settings. Uterine balloon tamponade (UBT) is an effective method of addressing uncontrolled postpartum hemorrhage (PPH) from uterine atony; however, UBT devices are often not affordable. We report on three novel uses of an ultra-low-cost condom uterine balloon tamponade (ESM-UBT) device. Cases. ESM-UBT devices were used in innovative ways to arrest severe uncontrolled pregnancy-related hemorrhage among three women in India and Tanzania. The first had sustained deep vaginal lacerations, the second a cervical pregnancy, and the third a complete molar pregnancy. Conclusion. The ESM-UBT device may be useful for control of obstetric hemorrhage caused by complex vaginal tears as well as cervical and molar pregnancies.

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

2020 ◽  
Vol 222 (4) ◽  
pp. 293.e1-293.e52 ◽  
Author(s):  
Sebastian Suarez ◽  
Agustin Conde-Agudelo ◽  
Anderson Borovac-Pinheiro ◽  
Daniela Suarez-Rebling ◽  
Melody Eckardt ◽  
...  
Keyword(s):  
Systematic Review ◽  
Postpartum Hemorrhage ◽  
Meta Analysis ◽  
Balloon Tamponade ◽  
Uterine Balloon Tamponade

scholarly journals Vacuum-Induced Hemorrhage Control Device versus Uterine Balloon Tamponade for Management of Postpartum Hemorrhage

2022 ◽  
Vol 226 (1) ◽  
pp. S716
Author(s):  
Rachel P. Gerber ◽  
Monique De Four Jones ◽  
Michael Nimaroff ◽  
Burton Rochelson ◽  
Moti Gulersen
Keyword(s):  
Postpartum Hemorrhage ◽  
Control Device ◽  
Hemorrhage Control ◽  
Balloon Tamponade ◽  
Uterine Balloon Tamponade

scholarly journals Uterine Balloon Tamponade in Combination with Topical Administration of Tranexamic Acid for Management of Postpartum Hemorrhage

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Masato Kinugasa ◽  
Hanako Tamai ◽  
Mayu Miyake ◽  
Takashi Shimizu
Keyword(s):  
Blood Loss ◽  
Tranexamic Acid ◽  
Postpartum Hemorrhage ◽  
Balloon Catheter ◽  
Stable Condition ◽  
Total Blood Loss ◽  
Total Blood ◽  
Balloon Tamponade ◽  
First Case ◽  
Uterine Balloon Tamponade

While uterine balloon tamponade is an effective modality for control of postpartum hemorrhage, the reported success rates have ranged from the level of 60% to the level of 80%. In unsuccessful cases, more invasive interventions are needed, including hysterectomy as a last resort. We developed a modified tamponade method and applied it to two cases of refractory postpartum hemorrhage after vaginal delivery. The first case was accompanied by uterine myoma and low-lying placenta. After an induced delivery, the patient had excessive hemorrhage due to uterine atony. Despite oxytocin infusion and bimanual uterine compression, the total blood loss was estimated at 2,800 mL or more. The second case was diagnosed as placental abruption complicated by fetal death and severe disseminated intravascular coagulation, subsequently. A profuse hemorrhage continued despite administration of uterotonics, fluid, and blood transfusion. The total blood loss was more than 5,000 mL. In each case, an intrauterine balloon catheter was wrapped in gauze impregnated with tranexamic acid, inserted into the uterus, and inflated sufficiently with sterile water. In this way, mechanical compression by a balloon and a topical antifibrinolytic agent were combined together. This method brought complete hemostasis and no further treatments were needed. Both the women left hospital in stable condition.

Improved Treatment of Postpartum Hemorrhage: Design, Development, and Bench-Top Validation of a Reusable Intrauterine Tamponade Device for Low-Resource Settings

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Katherine Hu ◽  
Maya M. Lapinski ◽  
Gavin Mischler ◽  
Robert H. Allen ◽  
Amir Manbachi ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Low Cost ◽  
Clinical Settings ◽  
Design Development ◽  
Low Resource Settings ◽  
Low Resource ◽  
Effective Interventions ◽  
Target Pressure ◽  
The Mean ◽  
Uterine Balloon Tamponade

Abstract Postpartum hemorrhage (PPH) is the leading cause of maternal mortality worldwide, and effective interventions for addressing PPH are urgently needed. Uterine balloon tamponade (UBT) is a technique to control PPH. Commercially available UBT devices are expensive and frequently require imaging technology to ensure placement. Condom-catheter uterine tamponade (C-UBT) is a technique appropriate for low-resource settings. Testing of the C-UBT is needed to better understand and optimize this technique for use in a variety of clinical settings including low-resource contexts. We describe here the design, development, and bench-top validation of a reusable C-UBT device optimized for low-resource settings. The device was tested in three differently sized uterine models using a variety of condom balloon configurations. Intrauterine wall pressure application was measured to evaluate the device capacity to apply pressure of at least 90 mmHg, estimating the mean arterial pressure within the uterine vasculature. Bench-top experimental validation of pressure exerted in uterine models demonstrated the device's capability of reaching hemostatic pressure in uterine volumes ranging from 170 to 1740 mL. Device adaptability and versatility were shown through its ability to reach the target pressure of 90 mmHg in different uterine sizes by varying balloon parameters, including condom thickness and condom configuration. The results of this study show the potential of a low-cost, reusable C-UBT device optimized to treat PPH in a variety of clinical settings, including low-resource contexts.

scholarly journals Uterine balloon tamponade for the management of uncontrolled postpartum hemorrhage by midwives and family physicians

2017 ◽  
Vol 9 (8) ◽  
pp. 109-112
Author(s):  
Altawil Zaid ◽  
de Redon Emily ◽  
Dinh Hao ◽  
Suarez-Rebling Daniela ◽  
F. Burke Thomas
Keyword(s):  
Postpartum Hemorrhage ◽  
Family Physicians ◽  
Balloon Tamponade ◽  
Uterine Balloon Tamponade

scholarly journals 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

2019 ◽  
Vol 8 (2) ◽  
pp. 591
Author(s):  
Sumitra Yadav ◽  
Anjali Malhotra
Keyword(s):  
Comparative Study ◽  
Postpartum Hemorrhage ◽  
Excessive Bleeding ◽  
Maternal Deaths ◽  
Balloon Tamponade ◽  
Third Stage ◽  
Developed World ◽  
And Child Health ◽  
Condom Catheter

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.

Sign in / Sign up

Export Citation Format

Share Document