Identifying Condom Catheter Component to Optimize Its Function As Intrauterine Balloon Tamponade (Iubt): A Laboratory Test

Abstract Uterine atony is the primary cause of postpartum hemorrhage worldwide. Further management for severe bleeding or limited uterotonic is the insertion of intrauterine balloon tamponade (IUBT), and a modified condom catheter is the most affordable form of IUBT. However, it has some limitations that can emerge from the component of the tools. This study aims to identify the equipment component of the condom catheter and discover potential improvements to optimize its function as IUBT. Preclinical research under laboratory environmental conditions was conducted. Five condom types, six catheter sizes, and a type of macro drip IV tubing were included in the study. The specifications of all condoms were almost similar and did not significantly differ in capacity, shape, and leakage. The condom shapes were more rounded and had a high possibility of filling the uterine space entirely if tied in the middle instead of close to the tip based on the standard. There was no significant time difference (p = 0.111; CI95% 3.31–3.52) in draining the fluid when using large catheters (nos 18F, 20F, 22F, and 24F) and removing the catheter. However, not using a catheter should consider the device's required length and mother's comfort in early mobilization. Also, further clinical studies are highly recommended.

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

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2018.6.24 ◽

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

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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

Journal of Women s Health Care ◽

10.4172/2167-0420.1000135 ◽

2013 ◽

Vol 02 (04) ◽

Cited By ~ 1

Keyword(s):

Randomized Controlled Trial ◽

Feasibility Study ◽

Postpartum Hemorrhage ◽

Controlled Trial ◽

Balloon Tamponade ◽

Randomized Controlled ◽

Condom Catheter

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Authors' reply re: The effectiveness and safety of introducing condom‐catheter uterine balloon tamponade for postpartum hemorrhage at secondary level hospitals in Uganda, Egypt and Senegal: a stepped‐wedge, cluster‐randomized trial

BJOG An International Journal of Obstetrics & Gynaecology ◽

10.1111/1471-0528.16000 ◽

2019 ◽

Vol 127 (3) ◽

pp. 426-426

Author(s):

Laura J. Frye ◽

Holly A. Anger ◽

Gillian Burkhardt

Keyword(s):

Randomized Trial ◽

Postpartum Hemorrhage ◽

Secondary Level ◽

Cluster Randomized Trial ◽

Stepped Wedge ◽

Balloon Tamponade ◽

Uterine Balloon Tamponade ◽

Cluster Randomized ◽

Condom Catheter

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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

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20190290 ◽

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.

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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 ◽

10.1371/journal.pone.0245988 ◽

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.

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Efficacy of Condom Balloon Tamponade in Management of Primary Postpartum Hemorrhage

Journal of Saidu Medical College, Swat ◽

10.52206/jsmc.2021.11.1.34-38 ◽

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.

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