Abstract
Background: To evaluate the efficacy of a condom as a tamponade for intrauterine pressure to stop massive postpartum hemorrhage (PPH)
 Methods: This prospective study was done in the Obstetrics and Gynecology Department of Jhalawar Medical College and Hospital, Jhalawar, between June 2017 and October 2017. In this study period, total 30 cases of PPH were identified; 20 were managed medically,2 were managed using the B-Lynch procedure, and 7 were managed using the condom catheter,1 underwent hysterectomy. The condom catheter was used when PPH that occurred as a result of atonicity could not be controlled by uterotonics. Under aseptic precautions, a sterile foley ‘s catheter fitted with a condom was introduced into the uterus. The condom was inflated with approximately 250-500 mL normal saline and kept for 24-48 hours, depending upon the initial intensity of blood loss, and gradually deflated when bleeding stopped.
 Results: In all 7 cases in which the condom catheter was used, bleeding stopped within 15-20 minutes. No further intervention needed.
 Conclusion: The hydrostatic condom catheter can control PPH in a very short time and effective manner. It is simple to use, cheap, and safe.
 Keywords: PPH, Condom Catheter
Highlights
Background: To evaluate the efficacy of a condom as a tamponade for intrauterine pressure to stop massive postpartum hemorrhage (PPH) Methods: This prospective study was done in the Obstetrics and Gynecology Department of Jhalawar Medical College and Hospital, Jhalawar, between June 2017 and October 2017
The condom catheter was used when PPH that occurred as a result of atonicity could not be controlled by uterotonics
Incidence of Postpartum hemorrhage (PPH) in India is 2% to 4% in vaginal delivery and 6% in cesarean section with uterine atony being the cause in 50% cases
Summary
Incidence of Postpartum hemorrhage (PPH) in India is 2% to 4% in vaginal delivery and 6% in cesarean section with uterine atony being the cause in 50% cases. When medical treatment fails and before using the surgical intervention and possible hysterectomy, compression of the uterine sinuses and to stop bleeding via uterine packing can be used in management of PPH. To keep the balloon in situ, the vaginal cavity was filled with roller gauze and a sanitary pad If bleeding continues, this vaginal pack will usually become soaked with blood, and if profuse it will trickle through the introitus to soak the outside pad and undergarments. MANAGEMENT Introduction of condom 0-4 hrs [5-24] hrs [25-48] hrs Condom kept for 24 hrs 36 hrs 48 hrs Time required to control PPH 0-20 min Saline needed to inflate the balloon (ml) Blood transfusion needed (units)
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