Uterine Tamponade Using Condom Catheter Balloon in The Management of Non-Traumatic Postpartum Hemorrhage

Abstract

Background: uterine tamponade can be lifesaving in PPH associated with deranged coagulation; as such women are at high risk for surgical intervention or angiographic embolisation. Successful tamponade with Rusch balloon catheter, Sengstaken-Blakemore tube, rolled gauze and recently with condom catheter are reported. Objective: the aim of this research was to study the efficacy and complications of uterine tamponade using condom catheter balloon in non-traumatic postpartum hemorrhage. Patients and Methods: this single-arm prospective study, that was conducted in Kafr Al-Dawar General Hospital and Al-Hussein Hospital. Twenty patients with non-traumatic postpartum hemorrhage not responding to medical treatment were included in this study. Results: outcome measures were the success rate in controlling hemorrhage, time required to stop bleeding, need for additional surgical measure, use of anesthesia, subsequent morbidity in terms of infection (measured by fever, total leucocyte counts >12 000 mm3 over next 5 days) and technical difficulties. There was significant statistical relation between volume of fluid in condom tamponade and pain in relation to the success in control of PPH in 15 min (P >0.05). There was no significant statistical relation between age, gestational age, Parity, fever and total leucocytes count in relation to the success in control of PPH in 15 min (P <0.05). Conclusion: condom catheters control PPH effectively and quickly. It is a simple, inexpensive and safe method of conserving the reproductive capacity along with saving the life of women with primary PPH.