Glove Tamponade for Atonic Postpartum Haemorrhage using Glove band

Abstract

Introduction: Balloon tamponade is effective and recently included in armamentarium of management of PPH. Condom tamponade is also popular and widely used in low resource setting. We introduced in this study, tamponade with glove and glove band using the same principles. Methods: Tamponde with glove using both pneumatic and hydrostatic method was studied in 2 cases. Glove bands are used to tie the gloves to Ryles tube with stillette inside which was used for inflation and facilitate placement. The device appears similar to uterine thermal balloon. After inflation When tamponade test was positive, the vagina was packed and Ryles tube with stillete is folded and strapped at the introitus. Drainage channel was attached to glove end. Double glove was used in pneumatic tamponade. Stethoscope tubing was used as y-connector with dial pressure meter and BP apparatus inflator. Results: Hemostasis was achieved in all 2 cases. The device could be placed successfully and immediately after opening the prepared kit and there was no incidence of air or saline leak and no popping-out /prolapse or bursting of the glove. There were no complications or mortaliy. Conclusion: Hydrostatic tamponade needs longer time especially when double gloves are used. Single glove serves the purpose well. The action of pneumatic glove tamponade is effective and instantaneous. We recommend this when the blood loss is marked in atonic PPH and there is lack of time. The device is simple, cheap, made with easily available materials and can be safely applied. Glove band prevents leakage of saline as well as air effectively without occlusion of the ryles tube lumen.