scholarly journals A study of the efficacy and safety of the balloon tamponade in the management of atonic post-partum hemorrhage

2020 ◽  
Vol 9 (4) ◽  
pp. 1576
Author(s):  
Aruna Kumar ◽  
Khushboo Kachchhap ◽  
Shubha Shrivastava
Keyword(s):  
Post Partum ◽  
Post Partum Hemorrhage ◽  
Medical College ◽  
Balloon Tamponade ◽  
Maternal Morbidity And Mortality ◽  
Different Types ◽  
One Year ◽  
Gandhi Medical College ◽  
Condom Catheter ◽  
Bakri Balloon

Background: The most common cause of post-partum hemorrhage (PPH) is uterine atony. Treatment for atony follows a well-defined stepwise approach, including drugs and mechanical interventions followed by surgery as a last resort. Early use of intrauterine balloon tamponade is a way of limiting ongoing uterine blood loss while initiating other measures and can be readily implemented by providers with minimal training.Methods: This prospective interventional study was conducted in 112 consecutive patients attended department of obstetrics and gynecology, Gandhi Medical College and Associated Sultania Zanana Hospital, Bhopal, Madhya Pradesh, India, in one year of study period.Results: In this study most of the patients had gestational age >37 weeks [83 (74.1%)]. Most of the patients in the study had vaginal delivery [64 (57.1%)]. In 84 (75%) patients Bakri balloon was used followed by Burke balloon in 17 (15.2%) patients, condom catheter in 7 (6.2%) patients and CG balloon in 4 (3.6%) patients. Different types of balloons were used according to availability of balloon at the time of management. Most of the patients [71 (63.3%)] had trans-vaginal route of balloon placement and 41 (36.7%) patients underwent trans-abdominal balloon placement. Most of the patients 69 (61.65%), responded to tamponing within 20 minutes of balloon placement while 9 patients had negative tamponade and continued to bleed. Bakri balloon tamponade was most commonly used in 84 (75.0%) patients. CG balloon and condom catheter were used only in 4 (3.6%) and 7 (6.3%) patients respectively. Tamponading was effective and successful in 103 (92%) patients.Conclusions: PPH is still a leading but preventable cause of maternal morbidity and mortality. In the majority of cases, relatively simple methods are used to avert a disaster, although these are not always employed. Uterine tamponade using intrauterine balloons appears to be an effective tool in the management of PPH.

657: Bakri balloon tamponade and uterine packing with gauze in post partum hemorrhage management: any differences?

2014 ◽  
Vol 210 (1) ◽  
pp. S322
Author(s):  
Luisa Patanè ◽  
Giorgia Cavalli ◽  
Valentina Mandelli ◽  
Nicola Strobelt ◽  
Luigi Frigerio ◽  
...  
Keyword(s):  
Post Partum ◽  
Post Partum Hemorrhage ◽  
Balloon Tamponade ◽  
Bakri Balloon

scholarly journals A study of uterine balloon tamponade for the management postpartum haemorrhage using Bakri balloon

2021 ◽  
Vol 10 (9) ◽  
pp. 3347
Author(s):  
Shashikala B. Patil ◽  
Indumathi H. K. ◽  
Sarojini . ◽  
Savitha C.
Keyword(s):  
Vaginal Delivery ◽  
Surgical Management ◽  
Postpartum Haemorrhage ◽  
Research Centre ◽  
Common Cause ◽  
Medical College ◽  
Balloon Tamponade ◽  
Maternal Morbidity And Mortality ◽  
Uterine Balloon Tamponade ◽  
Bakri Balloon

Background: PPH is the most common cause of maternal morbidity and mortality around the world. Incidence of PPH is 2-4% following vaginal delivery and 6% following cesarean delivery in India. Uterine atony is the most common cause of PPH. Treatment of PPH involves medical treatment and surgical management. In between medical and surgical management of PPH comes uterine balloon tamponade which is simple, less invasive and can be managed with minimal training.Methods: A retrospective cohort study was done for 2 years at Vanivilas hospital, Bangalore medical college and research centre, Bangalore, Karnataka. Cases of atonic PPH managed using Bakri balloon were included in the study. The objective of the study was to study the effectiveness of uterine balloon tamponade using Bakri balloon in the management of atonic PPH and to study the maternal outcome.Results: In this study total of 50 cases were included. Women were in the age group of 18 to 33years. Regarding obstetric history, 22 (44%) were primigravida and 28 (56%) was multigravida. Among these 50 cases 8 (16%) women had undergone caesarean delivery and 42(84%) had vaginal delivery. All women received blood transfusion, 17 (34%) received blood and blood components (like PRBC, FFP AND platelets) and 33 (66%) cases received only PRBC transfusion. In these 50 cases, 32 (64%) required ICU admission for monitoring, remaining 18 (36%) were monitored in the labor-room. Bakri balloon was effective in 49 cases among 50. Success rate was 98%.Conclusions: Intrauterine balloon tamponade using Bakri balloon is effective for control of atonic PPH in majority of cases. 

scholarly journals Primary post partum hemorrhage after vaginal birth: an analysis of risk factors

2016 ◽  
Vol 12 (2) ◽  
Author(s):  
Yasmeen Akhtar ◽  
Mohammad Arshad Chohan
Keyword(s):  
Risk Factors ◽  
Study Design ◽  
Analytical Study ◽  
Post Partum ◽  
Vaginal Birth ◽  
Uterine Atony ◽  
Post Partum Hemorrhage ◽  
Post Partum Haemorrhage ◽  
One Year ◽  
Underlying Risk

Objective: - To analyze the risk factors for primary post partum Haemorrhage. Settings: - Gynae/Obstetrics-Unit I Lady Willingdon Hospital Lahore. Study Design: - Observational Analytical study. Duration: - One year Ist January 2005 to 31 December 2005. Materials/Methods:-It was an observational analytical study in which the data about patients was collected with the help of proformas. Conclusion:- Uterine atony due to various underlying risk factors is the major cause of post partum Haemorrhage. If these factors are identified and treated accordingly then a lot of mothers can be saved.

Balloon tamponade during cesarean section is useful for severe post-partum hemorrhage due to placenta previa

2011 ◽  
Vol 38 (1) ◽  
pp. 102-107 ◽  
Author(s):  
Takako Ishii ◽  
Kenjiro Sawada ◽  
Shunsuke Koyama ◽  
Aki Isobe ◽  
Atsuko Wakabayashi ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Placenta Previa ◽  
Post Partum ◽  
Post Partum Hemorrhage ◽  
Balloon Tamponade

scholarly journals Study on pyrexia in pregnancy and labour with special emphasis on fetomaternal outcome

2020 ◽  
Vol 9 (11) ◽  
pp. 4414
Author(s):  
Shabana Sultan ◽  
Reena Parihar ◽  
Poorva Badkur
Keyword(s):  
Multidisciplinary Approach ◽  
Clinical Problem ◽  
Fetal Outcome ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Maternal Morbidity And Mortality ◽  
Fetal Complications ◽  
Gandhi Medical College ◽  
Common Clinical Problem ◽  
In Pregnancy

Background: Pyrexia in pregnancy is a very common clinical problem worldwide. Fever during pregnancy causes significant maternal and fetal complications. Fetus being an integral part of the feto-maternal unit and pregnancy involving numerous physiological changes and adaptations, pyrexia during the pregnancy affects both the mother and her foetus adversely. Effect of pyrexia on pregnancy depends on the extent of the rise in the temperature.Methods: This is a prospective observational hospital-based study conducted over a period of 1 year from march 2018 to February 2019 Department of Obstetrics and Gynaecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal.Results: Total no. of antenatal admission in Hospital during study period were 15354. Total 306 cases of pyrexia in pregnancy were found during the study period. Incidence of pyrexia in pregnancy in our study during study period was found 2%.Conclusions: The present study has demonstrated a need for multidisciplinary approach in cases of pregnancy complicated with pyrexia and also higher risk of maternal morbidity and mortality in un-booked patients. We found that pregnancy outcomes were good in booked cases with regular checkup. Early detection and management of patients with pyrexia can certainly help to improve maternal and fetal outcome. This also shows that multidisciplinary approach should extent throughout antenatal, intra-partum and postpartum period.

scholarly journals Maternal Mortality: Sharing Experience from Nobel Medical College Teaching Hospital

2014 ◽  
Vol 7 (2) ◽  
pp. 33-35
Author(s):  
S Ghimire
Keyword(s):  
Maternal Mortality ◽  
Teaching Hospital ◽  
Post Partum ◽  
Maternal Mortality Ratio ◽  
College Teaching ◽  
Eastern Region ◽  
Safe Abortion ◽  
Maternal Deaths ◽  
Medical College ◽  
One Year

Aims: To analyse causes of maternal deaths and to identify avoidable factors. Methods: This was a retrospective analysis of maternal deaths, during a period of one year from 15th April, 2011-15th April, 2012, at Nobel Medical College Teaching Hospital, Biratnagar in the Eastern Region of Nepal case files and hospital records being the data sources. All the maternal deaths were recorded. Results: In one year study period, out of a total of 2,754 deliveries, there were 8 maternal deaths giving maternal mortality ratio of 310/100,000 live births. Three of them resulted from an induced abortion mishap and five of them were obstetric deaths. Four of the direct obstetric deaths resulted from complications of pregnancy induced hypertension (PIH) of which one case died due to traumatic post partum hemorrhage postpartum hemorrhage (PPH) as a result of torrential bleeding from extensive vaginal wall tear. One indirect obstetric death occurred in a case of twin pregnancy with severe anemia and congestive cardiac failure. Conclusions: Provision of safe abortion services is still not available to many women despite of legalization of abortion in Nepal. Quality antenatal care services would be helpful in avoiding maternal mortality in many situations by detecting and managing medical complications of pregnancy. DOI: http://www.dx.doi.org/10.3126/njog.v7i2.11140   Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 2 / Issue 14 / July-Dec, 2012 / 33-35

scholarly journals Role of preoperative nutrition in gastro-intestinal cancer patients: a prospective study

2016 ◽  
Vol 4 (1) ◽  
pp. 131
Author(s):  
Samir Shukla ◽  
M. C. Songra ◽  
Naveen Kumar Patbamniya ◽  
M. Damor ◽  
Vijay Tyagi
Keyword(s):  
Prospective Study ◽  
Clinical Signs ◽  
Normal Diet ◽  
Control Group ◽  
Medical College ◽  
Preoperative Nutrition ◽  
Total Parentral Nutrition ◽  
One Year ◽  
Gandhi Medical College ◽  
A Prospective Study

Background:This prospective study was carried out to compare outcome and postoperative complication in patients with gastro-intestinal malignancy who received preoperative total parentral nutrition with those whom doesn’t.Methods: The study was a prospective single-centre, two-arm, conducted in department of general surgery, Gandhi Medical College and Associated Hamidia Hospital, Bhopal, Madhya Pradesh, India of one year duration, a total of 60 patients with G. I. malignancy, with or without sign of malnutrition, were included in the study. Patients were randomized and 30 patients were placed in each arm (interventional and control group) patients in the control group were asked to continue their normal feeding while interventional arm were given TPN in addition to their normal diet, for 7 to 10 days before surgery.Results:Infectious complications were more in control group, while one case each of pneumonia and sepsis was observed in patients receiving supplementation. Complications related to nutritional status of the patient like wound infection and anastomotic leak were observed only in patients without supplementation. There was no death observed in interventional group but two deaths occurred in control group.Conclusions:Preoperative nutritional support is beneficial and should be routinely used in abdominal and gastrointestinal cancer patient with or without clinical signs of malnutrition.

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 A COMPARATIVE STUDY OF KETOFOL (KETAMINE AND PROPOFOL) WITH PROPOFOL ALONE FOR RECOVERY IN PATIENTS UNDERGOING LAPAROSCOPIC CHOLECYSTECTOMY

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Priyanka Thakur ◽  
Prteet Negi ◽  
Ajay Sood ◽  
Aparna Sharma
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Controlled Trial ◽  
Verbal Command ◽  
Medical College ◽  
Recovery Profile ◽  
Eye Opening ◽  
One Year ◽  
Gandhi Medical College ◽  
Double Blinded ◽  
Mean Time

Background: To compare the recovery in ketofol (ketamine and   propofol) with propofol alone for vas in   patients undergoing laparoscopic cholecystectomy Methods: Prospective, randomized, double blinded controlled trial. After approval by the research ethics committee and written informed valid consent of the patients, the proposed study was carried out for a period of one year in 60  patients , in ASA-I and ASA-II patients, aged between 19 to 60 years of either sex, who were  posted for laproscopic cholecystectomy surgery at Indira Gandhi Medical College, Shimla. Results: Recovery profile was statistically significant for two groups. In group P after stopping infusion ,mean time for eye opening was 8.27 ± 1.28 which was less than group K ( 12.53 ± 1.48).  Mean time of response to verbal command in group P(8.4 ± 1.19) was less than group K (12.5 ± 1.46) and mean time of extubation in group P (9.5 ± 1.25) was also less than group K (14.33 ± 1.52). Conclusion- Patients of Group P after stopping of infusion took less time for eye opening, obeying verbal command and also less time for extubation  in comparison to group K . Keywords: Recovery, Propofol, Ketamine

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