Efficacy of Condom Balloon Tamponade in Management of Primary Postpartum Hemorrhage

Abstract

This article may be cited as: Begam Z, Zahir N, Sadaf F. Efficacy of condom balloon tamponade in management of primary postpartum hemorrhage. J Saidu Med Coll Swat 2021;11(1):34-38 ABSTRACT Background: Primary postpartum hemorrhage has a significant effect on maternal morbidity and mortality. Proper treatment and in 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 primary postpartum hemorrhage. st st Material and Method: This study was conducted in Saidu group of teaching hospital, swat from 1 august 2018 to 31 July 2019. All the patient with Primary postpartum hemorrhage were included in the study. All patients were first managed by medical therapy and when the medial therapy failed then balloon catheter tamponade were introduced and patients were noticed 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 no significant 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 to uterine atony. It should be tried before preceding to other Surgical management like Be-lynch, uterine artery ligation or hysterectomy in cases of medical therapy failure.