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.

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 Postpartum infection, pain and experiences with care among women treated for postpartum hemorrhage in three African countries: A cohort study of women managed with and without condom-catheter uterine balloon tamponade

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0245988
Author(s):  
Holly A. Anger ◽  
Jill Durocher ◽  
Rasha Dabash ◽  
Nevine Hassanein ◽  
Sam Ononge ◽  
...  
Keyword(s):  
Cohort Study ◽  
Risk Ratio ◽  
Postpartum Hemorrhage ◽  
New Technologies ◽  
Relative Risk Ratio ◽  
African Countries ◽  
Post Discharge ◽  
Balloon Tamponade ◽  
Uterine Balloon Tamponade ◽  
Condom Catheter

Objective We aimed to determine the risk of postpartum infection and increased pain associated with use of condom-catheter uterine balloon tamponade (UBT) among women diagnosed with postpartum hemorrhage (PPH) in three low- and middle-income countries (LMICs). We also sought women’s opinions on their overall experience of PPH care. Methods This prospective cohort study compared women diagnosed with PPH who received and did not receive UBT (UBT group and no-UBT group, respectively) at 18 secondary level hospitals in Uganda, Egypt, and Senegal that participated in a stepped wedge, cluster-randomized trial assessing UBT introduction. Key outcomes were reported pain (on a scale 0–10) in the immediate postpartum period and receipt of antibiotics within four weeks postpartum (a proxy for postpartum infection). Outcomes related to satisfaction with care and aspects women liked most and least about PPH care were also reported. Results Among women diagnosed with PPH, 58 were in the UBT group and 2188 in the no-UBT group. Self-reported, post-discharge antibiotic use within four weeks postpartum was similar in the UBT (3/58, 5.6%) and no-UBT groups (100/2188, 4.6%, risk ratio = 1.22, 95% confidence interval [CI]: 0.45–3.35). A high postpartum pain score of 8–10 was more common among women in the UBT group (17/46, 37.0%) than in the no-UBT group (360/1805, 19.9%, relative risk ratio = 3.64, 95% CI:1.30–10.16). Most women were satisfied with their care (1935/2325, 83.2%). When asked what they liked least about care, the most common responses were that medications (580/1511, 38.4%) and medical supplies (503/1511, 33.3%) were unavailable. Conclusion UBT did not increase the risk of postpartum infection among this population. Women who receive UBT may experience higher degrees of pain compared to women who do not receive UBT. Women’s satisfaction with their care and stockouts of medications and other supplies deserve greater attention when introducing new technologies like UBT.

scholarly journals Efficacy of Condom Balloon Tamponade in Management of Primary Postpartum Hemorrhage

2021 ◽  
Vol 11 (1) ◽  
pp. 34-38
Author(s):  
Zareena Begam ◽  
Neelum Zahir ◽  
Farhadia Sadaf
Keyword(s):  
Medical Therapy ◽  
Postpartum Hemorrhage ◽  
Time Management ◽  
Response Rate ◽  
Balloon Catheter ◽  
Morbidity And Mortality ◽  
Artery Ligation ◽  
Balloon Tamponade ◽  
Maternal Morbidity And Mortality ◽  
Condom Catheter

Background: Primary postpartum hemorrhage has a significant effect on maternal morbidity and mortality. Proper treatment andin time management of the patient have showed to decrease this morbidity and mortality a lot.Objective: The objective of our study is to find out the efficacy of balloon tamponade in the management of primarypostpartum hemorrhage.Material and Method: This study was conducted in Saidu group of teaching hospital, swat from 1st august 2018 to 31st July2019. All the patient with Primary postpartum hemorrhage were included in the study. All patients were first managed bymedical therapy and when the medial therapy failed then balloon catheter tamponade were introduced and patients werenoticed for stoppage of bleeding within few minutes.Result: Mean age was 27.04±5.42 years. 72 patients failed from medical therapy which was managed by condom tamponade.The response rate of condom tamponade in these 72 patient was 69 (95.83%) while 3 (4.17%) did not respond. There was nosignificant effect of age, gravida on the response rate of Balloon tamponade.Conclusion: The response rate to Balloon Catheter tamponade is high in patient with Primary postpartum hemorrhage due touterine atony. It should be tried before preceding to other Surgical management like Be-lynch, uterine artery ligation orhysterectomy in cases of medical therapy failure.Key Words: primary postpartum hemorrhage, Medical Management, Condom catheter, Response rate.

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.

scholarly journals AN INSIGHT INTO MATERNAL DEATH CAUSED BY POSTPARTUM HEMORRHAGE IN WESTERN TIMOR, INDONESIA

2019 ◽  
Vol 22 (1) ◽  
pp. 1-10
Author(s):  
Kristiani Desimina Tauho ◽  
Ferry Fredy Karwur
Keyword(s):  
Maternal Death ◽  
Postpartum Hemorrhage ◽  
Health Workers ◽  
Health Providers ◽  
Maternal Deaths ◽  
Birth Attendants ◽  
Third Stage Of Labor ◽  
Third Stage ◽  
Communication Devices ◽  
Research Findings

Maternal deaths in Timor Island, East Nusa Tenggara Province, are one of the contributors to the overall maternal mortality rate (MMR) of Indonesia. The MMR of Western Timor Island was 150/100,000 live births in 2015. The aim of this qualitative study was to explore the perceived causes of maternal death due to postpartum hemorrhage. Data were obtained from family members, traditional birth attendants, and Posyandu cadres, as well as health providers. Using the retrospective method, this study traced six out of nine postpartum hemorrhage cases in the four sub-districts with the highest maternal death rate in 2010. The research findings showed that most childbirth processes were done at home without any help from health workers. Postpartum hemorrhage happened among women ranging from 24-42 years old; five among them had been pregnant more than four times. Medically, five cases were caused by a prolonged third stage of labor due to a retained placenta. Non-medical factors causing postpartum hemorrhage were poor accessibility, lack of communication devices, and lack of infrastructure.  Keywords: maternal death, postpartum hemorrhage, Western Timor Abstrak Pengetahuan Tentang Kematian Maternal Karena Perdarahan Postpartum di Timor Barat, Indonesia. Kematian maternal di Pulau Timor, Provinsi Nusa Tenggara Timur, merupakan salah satu penyumbang Angka Kematian Ibu (AKI) di Indonesia. Tahun 2015, AKI di Pulau Timor bagian barat adalah sebesar 150/100.000 kelahiran hidup. Tujuan dari studi kualitatif ini adalah untuk mengeksplorasi persepsi para pihak yang paling mengetahui mengenai penyebab kematian maternal karena perdarahan postpartum. Data diberikan oleh anggota keluarga, dukun bersalin, dan kader Posyandu, serta penyedia layanan. Menggunakan metode retrospektif, penelitian ini menyusur enam dari sembilan kasus perdarahan postpartum yang terjadi di empat kecamatan yang memiliki angka kematian maternal tertinggi pada tahun 2010. Hasil penelitian menunjukkan bahwa sebagian besar prosedur persalinan dilakukan di rumah tanpa bantuan dari tenaga kesehatan. Perdarahan postpartum terjadi di antara wanita dengan rentang umur 24–42 tahun; empat di antara mereka sudah pernah hamil sebanyak lebih dari empat kali. Secara medis, lima kasus disebabkan oleh perpanjangan kala tiga persalinan berhubungan dengan retensi plasenta. Faktor- faktor non medis yang menyebabkan perdarahan posrpartum adalah aksesibilitas yang buruk, ketiadaan piranti komunikasi, dan kurangnya infrastruktur. Kata kunci: kematian ibu, perdarahan postpartum, Timor Barat

Management of postpartum hemorrhage with intrauterine balloon tamponade using a condom catheter in an Egyptian setting

2016 ◽  
Vol 135 (3) ◽  
pp. 272-275 ◽  
Author(s):  
Mohamed Kandeel ◽  
Zakaria Sanad ◽  
Hamed Ellakwa ◽  
Alaa El Halaby ◽  
Mohamed Rezk ◽  
...  
Keyword(s):  
Postpartum Hemorrhage ◽  
Balloon Tamponade ◽  
Condom Catheter

scholarly journals Role of intrauterine balloon tamponade in controlling massive primary post partum haemorrage

2018 ◽  
Vol 29 (1) ◽  
pp. 52-54
Author(s):  
Nahar N ◽  
Rahman Z ◽  
Chaudhury S ◽  
Yusuf N ◽  
Ashraf F
Keyword(s):  
Disseminated Intravascular Coagulation ◽  
Postpartum Haemorrhage ◽  
Surgical Intervention ◽  
Post Partum ◽  
Common Cause ◽  
Balloon Tamponade ◽  
Rubber Catheter ◽  
Condom Catheter

Postpartum haemorrhage (PPH) Remains a significant complication of child birth worldwide. The most common cause of PPH is uterine atony. Recently, uterine tamponade using intrauterine condom appearsto be an effective tools in the management of uncontrolled primary PPH. Objectives of our studywas to see the effectiveness of large volume fluid filled condom catheter in the management of primary PPH. Methods: a condom was inserted in the uterus by means of a size 16 rubber catheter and inflated with 250 to 300ml normal saline until the bleeding was controlled. The condom was kept in situ for 24 to 48 hours. Results: Out of 53 cases, PPH was controlled in 52 cases. One patient died as the patient was eclamptic & develped disseminated intravascular coagulation (DIC). No patient required surgical intervention. Conclusion: fluid filled intrauterine condom is an effective method in the management of primary PPH when usual measures & drugs fail to control PPH.TAJ 2016; 29(1): 52-54

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.

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