scholarly journals Uterine tamponade using condom catheter balloon in the management of non-traumatic postpartum hemorrhage

2018 ◽  
Vol 7 (7) ◽  
pp. 2617
Author(s):  
Renu Jain
Keyword(s):  
Postpartum Hemorrhage ◽  
Therapeutic Option ◽  
Ease Of Use ◽  
Uterine Atony ◽  
Wound Sepsis ◽  
Low Resource ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Condom Catheter ◽  
Febrile Morbidity

Background: In low-resource countries, Postpartum Hemorrhage (PPH) is the leading cause of maternal mortality. The intrauterine balloon tamponade was recently incorporated into the strategy to manage uterine atony. There are many types of tamponades. Among them, the condom catheter seems to be an efficient and economic intervention for the treatment of PPH in low-resource countries. The aim of present study was to evaluate the effectiveness of the condom catheter balloon in treating postpartum hemorrhage refractory to medical treatment.Methods: The retrospective analysis of 22 cases of PPH, treated with a condom catheter as a conservative therapeutic option, was done in department of Obstetrics and Gynaecology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India.Results: The condom catheter was successful in controlling PPH in 90.9% cases. It was effective in 94.44% women with uterine atony, who did not respond to uterotonic drugs. It was also effective in one case of placental implantation site bleeding and two cases of deranged coagulation function. In 2 cases it failed to control PPH and peripartum hysterectomy was done. The volume of saline solution used to fill the balloon was from 150 -350 ml and the time for which the balloon remained inflated was 36-48 hours. No case of febrile morbidity and wound sepsis was noted. There was no maternal death.Conclusions: Its ease of use and high effectiveness make condom catheter a useful approach for the conservative management of PPH. This device reduces bleeding, shortens the hospital stay and avoids the need for more aggressive procedures.

TO EVALUATE THE EFFECTIVENESS OF CONDOM BALLOON CATHETER IN TREATING INTRACTABLE POSTPARTUM HEMORRHAGE AT KONTUM PROVINCIAL HOSPITAL

2018 ◽  
Vol 8 (6) ◽  
pp. 178-183
Author(s):  
Dinh Nguyen Gia ◽  
Thanh Cao Ngoc
Keyword(s):  
Maternal Death ◽  
Postpartum Hemorrhage ◽  
Medical Management ◽  
Balloon Catheter ◽  
Uterine Atony ◽  
Cross Sectional ◽  
Common Cause ◽  
Provincial Hospital ◽  
Balloon Tamponade ◽  
Condom Catheter

Background: Postpartum hemorrhage (PPH) remains a significant contributor to maternal morbility and mortality and accounts for 31% of maternal death in Vietnam. The most common cause of PPH is uterine atony. Recently, uterine tamponade using intrauterine condom appears to be an effective tool in the management of intractable PPH. Objectives: To evaluate the success of condom as a tamponade to arrest intractable PPH due to uterine atony in patients not responding to medical management. Materials and Methods: The study was designed as a cross-sectional and descriptive, included 32 patients who underwent condom balloon tamponade at Kontum Provincial Hospital from 1/2012 to 8/2016. Results: 32 women (mean age 25.71 ± 6.45 years range, 16 - 39) underwent condom balloon tamponade for PPH controls. 29 patients (90.62%) successfully responded the tamponade therapy by the use of condom catheter. Three patients (9.37%) required hysterectomy. Conclusions: Condom catheter balloon effectively controls the intractable PPH due to uterine atony. Key words: PPH (Pospartum hemorrhage), Tamponade, Condom catheter balloon, Uterine atony

scholarly journals Emergency obstetric hysterectomy: a two-year observational study at tertiary care center in Berhampur, Odisha, India

2019 ◽  
Vol 8 (12) ◽  
pp. 4695
Author(s):  
Ritanjali Behera ◽  
Bibekananda Rath
Keyword(s):  
Caesarean Section ◽  
Postpartum Hemorrhage ◽  
Care Center ◽  
Tertiary Care ◽  
Medical College ◽  
Balanced Approach ◽  
The Face ◽  
Life Threatening ◽  
Emergency Hysterectomy ◽  
Febrile Morbidity

Background: Emergency obstetric hysterectomy is an unequivocal marker of severe maternal morbidity and, in many respects, the treatment of last resort for rupture uterus, severe postpartum hemorrhage (PPH) and other such life-threatening conditions. In no other gynaecological or obstetrical surgery is the surgeon in as much a dilemma as when deciding to resort to an emergency hysterectomy. On one hand it is the last resort to save a mother’s life, and on the other hand, the mother’s reproductive capability is sacrificed. This study is conducted with an aim to determine the frequency, demographic characteristics, indications, and feto-maternal outcomes associated with emergency obstetric hysterectomy in a tertiary care centre.Methods: We conducted a prospective, observational, and analytical study over a period of two years, from September 2017 till September 2019. A total of 56 cases of emergency obstetric hysterectomy (EOH) were studied in the Department of Obstetrics and Gynecology, MKCG Medical College, Berhampur.Results: The incidence of EOH in our study was 12 following vaginal delivery and 44 following caesarean section. The overall incidence was 56 per 21,128 deliveries. Uterine rupture (37.5%) was the most common indication followed by atonic postpartum hemorrhage (25%) and placenta accrete spectrum (10.7%). The most frequent sequelae were febrile morbidity (25.7%) and disseminated intravascular coagulation (21.4%). Maternal mortality was 17.1% whereas perinatal mortality was 51.7%.Conclusions: A balanced approach to EOH can prove to be lifesaving at times when conservative surgical modalities fail and interventional radiology is not immediately available. Our study highlights the place of extirpative surgery in modern obstetrics in the face of rising rates of caesarean section and multiple pregnancies particularly in urban settings in developing countries.

scholarly journals Condom catheter: a simple and efficacious alternative of hysterectomy in postpartum haemorrhage

2019 ◽  
Vol 8 (6) ◽  
pp. 2493
Author(s):  
Neeta Natu ◽  
Vandna Singh
Keyword(s):  
Prospective Study ◽  
Hospital Stay ◽  
Vaginal Delivery ◽  
Surgical Management ◽  
Conservative Management ◽  
Postpartum Hemorrhage ◽  
Postpartum Haemorrhage ◽  
Ease Of Use ◽  
High Effectiveness ◽  
Condom Catheter

Background: The aim of this study was to evaluate the effectiveness of the condom catheter in treating postpartum hemorrhage refractory to medical treatment.Methods: This prospective study included 21 women with postpartum hemorrhage treated with a condom catheter as a conservative therapeutic option.Results: The condom catheter was successful in controlling hemorrhage in 90.4% of the women. It was effective in all women with vaginal delivery (11 of 12) and highly effective in women with uterine atony who did not respond to medical uterotonic treatment (6 of 7 women).Conclusions: Its ease of use and high effectiveness make the condom catheter a useful approach for the conservative management of acute postpartum hemorrhage. This device reduces bleeding, shortens the hospital stay and avoids the need for surgical management.

scholarly journals Condom tamponade in the management of atonic postpartum hemorrhage

2018 ◽  
Vol 7 (6) ◽  
pp. 2276 ◽  
Author(s):  
Ramya Santhanam ◽  
Radhamani Mavunkal Viswanathan ◽  
Priya V.
Keyword(s):  
Maternal Mortality ◽  
Postpartum Hemorrhage ◽  
Clinical Evidence ◽  
Surgical Intervention ◽  
Development Goal ◽  
Medical College ◽  
Life Saving ◽  
Time Required ◽  
Condom Catheter

Background: Postpartum hemorrhage (PPH) remains a leading direct cause of maternal death in both developed and developing countries. Millennium development goal of reducing maternal mortality rate cannot be achieved unless the prevention and treatment of PPH is prioritized. Objectives of the study were to study the efficacy of condom tamponade to arrest bleeding in cases of atonic PPH unresponsive to uterotonics.Methods: Prospective study conducted in the Kottayam Medical College where mothers who develop atonic PPH following childbirth unresponsive to uterotonics (after ruling out traumatic PPH) were included in study. Condom tamponade was applied in them and inflated with normal saline until the bleeding stops. Intrauterine drain was fitted with this to find out ongoing bleeding with tamponade in situ. The Condom tamponade was kept for 12-24 hrs and gradually deflated when bleeding ceased. Outcome measures were (1) Ability of condom catheter to stop bleeding; (2) Cases requiring further intervention; (3) Time required to stop bleeding and (4) Subsequent morbidity in terms of infection.Results: Of the 487 cases of atonic PPH, 61 required condom tamponade; bleeding controlled in 59 cases (96.7%); two patients (3.3%) needed further surgical intervention. No cases of maternal mortality due to PPH. No clinical evidence of intrauterine infection.Conclusions: The hydrostatic condom tamponade controls PPH quickly and effectively. It is simple, inexpensive, easily available, needs less expertise and life saving. Any healthcare provider may use this procedure as a timely measure to save the life of patients especially during referral to decrease ongoing loss.

scholarly journals USE OF THE CONDOM CATHETER TO CONTROL THE MASSIVE POSTPARTUM HEMORRHAGE

2019 ◽  
Vol 3 (5) ◽  
Author(s):  
Dr. Manju Agarwal ◽  
Dr. Rakhee Soni
Keyword(s):  
Blood Loss ◽  
Prospective Study ◽  
Normal Saline ◽  
Postpartum Hemorrhage ◽  
Obstetrics And Gynecology ◽  
Medical College ◽  
Effective Manner ◽  
Short Time ◽  
Condom Catheter ◽  
Initial Intensity

Background: To evaluate the efficacy of a condom as a tamponade for intrauterine pressure to stop massive postpartum hemorrhage (PPH) Methods: This prospective study was done in the Obstetrics and Gynecology Department of Jhalawar Medical College and Hospital, Jhalawar, between June 2017 and October 2017. In this study period, total 30 cases of PPH were identified; 20 were managed medically,2 were managed using the B-Lynch procedure, and 7 were managed using the condom catheter,1 underwent hysterectomy. The condom catheter was used when PPH that occurred as a result of atonicity could not be controlled by uterotonics. Under aseptic precautions, a sterile foley ‘s catheter fitted with a condom was introduced into the uterus. The condom was inflated with approximately 250-500 mL normal saline and kept for 24-48 hours, depending upon the initial intensity of blood loss, and gradually deflated when bleeding stopped. Results: In all 7 cases in which the condom catheter was used, bleeding stopped within 15-20 minutes. No further intervention needed. Conclusion: The hydrostatic condom catheter can control PPH in a very short time and effective manner. It is simple to use, cheap, and safe. Keywords: PPH, Condom Catheter

Pharmaco-vigilance of oral MethylErgometrine prescriptions for delayed and secondary postpartum haemorrhage

2020 ◽  
Vol 48 (8) ◽  
pp. 853-855
Author(s):  
Abdul Rouf Pallivalapila ◽  
Isaac A. Babarinsa ◽  
Mariam Al-Baloushi ◽  
Ahmed Moursi ◽  
Arabo Bayo ◽  
...  
Keyword(s):  
Patient Information ◽  
Safety Profile ◽  
Postpartum Hemorrhage ◽  
Medication Safety ◽  
Postpartum Haemorrhage ◽  
Prescription Data ◽  
Information Leaflet ◽  
Trend Monitoring ◽  
Obstetrics And Gynaecology ◽  
Secondary Postpartum Hemorrhage

AbstractObjectivesThe objectives of this study were to quantify the prescription of oral methergin tablets in a busy Women’s Hospital, assess the stated indications for such prescription and highlight the issues and safety profile of Methergin use especially in the postpartum patient.MethodsReview of prescription data for oral Methergin and the corresponding annual figures on primary and secondary postpartum hemorrhage.ResultsOver a period of 5 years, oral Methergin prescriptions for delayed and secondary postpartum hemorrhage constituted less than 1% of the overall prescription in Obstetrics and Gynaecology, which ranged between 1214 and 2085 per year. The numbers were too few to ascertain any relationship with both types of postpartum hemorrhage. Although stated on the relevant Patient Information leaflet, no local or regional guideline on its use exist.ConclusionsSpecific and random trend monitoring of medications for continuing safety profile, risk benefit issues, or unapproved indication, may help in identifying, preventing and mitigating any medication safety matters. Clinical pharmacists in collaboration with physicians are well placed in conducting such pharmacovigilance activities to improve medication safety.

scholarly journals Evaluation of MicroScan Bacterial Identification Panels for Low-Resource Settings

Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 349
Author(s):  
Sien Ombelet ◽  
Alessandra Natale ◽  
Jean-Baptiste Ronat ◽  
Olivier Vandenberg ◽  
Liselotte Hardy ◽  
...  
Keyword(s):  
Bacterial Species ◽  
Ease Of Use ◽  
Bacterial Identification ◽  
Gram Positive ◽  
Gram Negative ◽  
Low Resource Settings ◽  
Low Resource ◽  
Bacillus Spp ◽  
Gram Negative Organisms ◽  
Instructions For Use

Bacterial identification is challenging in low-resource settings (LRS). We evaluated the MicroScan identification panels (Beckman Coulter, Brea, CA, USA) as part of Médecins Sans Frontières’ Mini-lab Project. The MicroScan Dried Overnight Positive ID Type 3 (PID3) panels for Gram-positive organisms and Dried Overnight Negative ID Type 2 (NID2) panels for Gram-negative organisms were assessed with 367 clinical isolates from LRS. Robustness was studied by inoculating Gram-negative species on the Gram-positive panel and vice versa. The ease of use of the panels and readability of the instructions for use (IFU) were evaluated. Of species represented in the MicroScan database, 94.6% (185/195) of Gram-negative and 85.9% (110/128) of Gram-positive isolates were correctly identified up to species level. Of species not represented in the database (e.g., Streptococcus suis and Bacillus spp.), 53.1% out of 49 isolates were incorrectly identified as non-related bacterial species. Testing of Gram-positive isolates on Gram-negative panels and vice versa (n = 144) resulted in incorrect identifications for 38.2% of tested isolates. The readability level of the IFU was considered too high for LRS. Inoculation of the panels was favorably evaluated, whereas the visual reading of the panels was considered error-prone. In conclusion, the accuracy of the MicroScan identification panels was excellent for Gram-negative species and good for Gram-positive species. Improvements in stability, robustness, and ease of use have been identified to assure adaptation to LRS constraints.

scholarly journals Diagnostic Modalities of Precancerous and Cancerous Cervical Lesions with Special Emphasis on CD31 Angiogenesis Factor as a Marker

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Bandana Sharma ◽  
Neetu Singh ◽  
Neena Gupta ◽  
Pavika Lal ◽  
Shefali Pande ◽  
...  
Keyword(s):  
Statistical Analysis ◽  
Pap Smear ◽  
Histopathological Examination ◽  
Cervical Lesions ◽  
Invasive Group ◽  
Angiogenesis Factor ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Diagnostic Modalities

Objectives. To evaluate the role of angiogenesis tumor marker CD31 in the detection of precancerous and cancerous cervical lesions and to compare its efficacy with colposcopy and histopathology. Materials and Methods. 230 patients with a suspicious looking cervix and an abnormal Pap smear attending the Outpatient Department of Obstetrics and Gynaecology of GSVM Medical College were subjected to a colposcopic examination. 180 patients with suspected colposcopic findings were subjected to a colposcopic directed biopsy. Biopsy tissues were sent for histopathological examination out of which 50 biopsied samples were sent for immunostaining of CD-31. Statistical analysis was done. Results. Comparison of microvessel density (MVD) count by haematoxylin and eosin staining (HE) and immunostaining of CD31 in preinvasive group were and , respectively, and in invasive group were and , respectively, which showed that MVD was higher by CD31 both in preinvasive and invasive group, and it was statistically significant. Conclusion. Angiogenesis is a marker of tumor progression, and CD31 fixes up vessel better as compared to HE, so aggressiveness of the tumor can be better predicted by MVD-CD31 as compared to MVD-HE.

Life-saving with a vaginal condom catheter in postpartum haemorrhage due to vaginal lacerations in a low-resource setting

2021 ◽  
Vol 14 (9) ◽  
pp. e245199
Author(s):  
Indunil Piyadigama ◽  
Chinthaka Banagala ◽  
Lakshman Kariyawasam ◽  
Madura Jayawardane
Keyword(s):  
Postpartum Haemorrhage ◽  
Foley Catheter ◽  
Labia Minora ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Life Saving ◽  
Saving Measure ◽  
Vaginal Introitus ◽  
Condom Catheter

Postpartum haemorrhage (PPH) due to multiple vaginal lacerations is difficult to manage and tamponade is used as a life-saving measure. Condom catheter with stay sutures at the vaginal introitus for this purpose has not been reported. We describe successfully managing PPH due to multiple vaginal lacerations following a forceps delivery using a condom tied to an 18 FG Foley catheter. The device was introduced to the vagina, inflated with 700 mL of normal saline and was held in situ by sealing the vaginal introitus with interrupted nylon stitches running between the labia minora. Condom catheter is cheap and freely available in low-resource settings. The preparation and application can be done by a less experienced operator.

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