EFFECTIVENESS OF UTERINE BALLOON TAMPONADE IN MANAGEMENT OF PRIMARY POSTPARTUM HEMORRHAGE

Abstract

Objectives: To determine the effectiveness of uterine balloon tamponade in the management of primary post partum hemorrhage.Materials and Methods: This cross sectional descriptive study was conducted in Tehsil Headquarter Hospital Swabi from 1st May 2023 to 31st October 2023. A total of 177 women presenting with primary PPH regardless of parity were included in the study. All were  treated with standard protocols for PPH treatment .The balloon was removed 12 hours after its insertion to determine the effectiveness in terms of less than 100 ml loss of blood. Slow deflation of balloon tamponade with simultaneous monitoring for resumption of bleeding.Results: Mean age of the patients were 28.497±2.43 years, gravidity 2.638±1.19, parity 1.638±1.19, gestational age 38.689±1.12 and mean BMI was 26.1±1.35 Kg/m2. Uterine atony was the cause of PPH in 78.6%. Those who underwent normal vaginal delivery were 66.1% while 33.9% underwent C-section. Out of the total 177 cases, uterine balloon tamponade was effective in 129 cases (72.9%) with a statistically significant diff erence of 0.001 in combine spontaneous or induced labor.Conclusion: The intended study concludes that balloon tamponade is a successful and reliable approach in addressing PPH. This method effectively aids in controlling excessive bleeding following delivery, highlighting its significance as an effective treatment option in managing PPH.