Balloon Tamponade In Management Research Articles

Effectiveness of Foleys Intrauterine Balloon Tamponade in Management of Postpartum Haemorrhage and Factors Associated With its Failure; A Tertiary Care Experience

OBJECTIVES To evaluate the effectiveness and factors associated with the failure of intrauterine balloon tamponade (IUBT) in managing postpartum hemorrhage (PPH). METHODOLOGY We conducted a retrospective observational study including data from 160 patients aged 21-30 years at the Department of Obstetrics and Gynaecology, Lady Reading Hospital, Peshawar, managed for PPH with IUBT, after failed medical treatment from Jan 2020 to December 2021. Data were collected retrospectively in three months, from January to March 2022. IUBT was successful if, after 24 hours of insertion, no or less than 100ml bleeding occurred.RESULTS Among the patients managed by IUBT, the majority had uterine atony (81.25%), 17.5% had lower segment hemorrhage, and 1.25% of cases had a placental abruption. The mean estimated blood loss was 1263.7±398.7 ml. The procedure was successful in 89.3% of cases. Sixteen patients underwent a hysterectomy for failed IUBT. There were six maternal deaths, mainly due to acute renal failure and disseminated intravascular coagulation (DIC). Between the successful and unsuccessful cases of IUBT, there was a statistically significant difference in the gravidity, mode of delivery, gestations, booking, peripartum BP, pulse rate, hemoglobin, platelet count, prothrombin time (PT), activated partial thromboplastin time (aPTT), blood loss during the procedure, DIC, and intensive care unit admissions (p<0.00). The median hemoglobin, hematocrit, platelets count, and lymphocytes were significantly higher before IUBT insertion (p<0.00).CONCLUSION IUBT is an effective, easy-to-use, inexpensive, and safe tool in the management of PPH. Low hemoglobin, thrombocytopenia, high PT, aPTT, and DIC are associated with low success rates

A study to evaluate the effectiveness of video assisted teaching programme on knowledge regarding intra uterine balloon tamponade in management of pph among staff nurses working in selected hospitals of Mysuru city

A Quasi experimental study to evaluate the effectiveness of Video assisted teaching programme on knowledge regarding use of Intra Uterine Balloon Tamponade in the management of PPH among staff nurses in selected hospitals of Mysuru. The sample consisting of 60 Staff Nurses in selected hospitals by using non-probability convenient sampling method. The tool comprised of structured self-administered questionnaire. The mean of pre test knowledge score in experimental group was 8.966 with standard deviation of 4.205. While in control group, mean was 8.533 with standard deviation of 3.471. The post test knowledge score from both experimental and control group showed that the obtained post test mean value in experimental group (18.03) was higher than post test mean value in control group (8.93). The mean difference value of experimental group (9.07) is greater than control group (0.4), and the obtained ‘t’ test value (9.977) is found to be more than ‘t’ table value (2.00). Since, the obtained ‘t’ value is highly significant at p<0.05 level. Therefore, null hypothesis (H) is rejected. This shows that there is a significant improvement in the knowledge level of staff nurses in experimental group compared to control group. This indicates that administration of video assisted teaching programme was effective in improving the knowledge of staff nurses regarding use of intrauterine balloon tamponade in the management of PPH. The findings established that there was no association between knowledge of samples on use of intrauterine balloon tamponade in the management of PPH and selected demo graphical variables in both experimental and control group. Hence, the research hypothesis Hwas rejected and the present study revealed that VAT on knowledge regarding use of intrauterine balloon tamponade in the management of PPH was effective among staff nurses.

Efficacy of Condom Balloon Tamponade in Management of Primary Postpartum Hemorrhage

Background: Primary postpartum hemorrhage has a significant effect on maternal morbidity and mortality. Proper treatment andin 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 primarypostpartum hemorrhage.Material and Method: This study was conducted in Saidu group of teaching hospital, swat from 1st august 2018 to 31st July2019. All the patient with Primary postpartum hemorrhage were included in the study. All patients were first managed bymedical therapy and when the medial therapy failed then balloon catheter tamponade were introduced and patients werenoticed 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 nosignificant 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 touterine atony. It should be tried before preceding to other Surgical management like Be-lynch, uterine artery ligation orhysterectomy in cases of medical therapy failure.Key Words: primary postpartum hemorrhage, Medical Management, Condom catheter, Response rate.

Efficacy of Condom Balloon Tamponade in Management of Primary Postpartum Hemorrhage

Background: Primary postpartum hemorrhage has a significant effect on maternal morbidity and mortality. Proper treatment andin 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 primarypostpartum hemorrhage.Material and Method: This study was conducted in Saidu group of teaching hospital, swat from 1st august 2018 to 31st July2019. All the patient with Primary postpartum hemorrhage were included in the study. All patients were first managed bymedical therapy and when the medial therapy failed then balloon catheter tamponade were introduced and patients werenoticed 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 nosignificant 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 touterine atony. It should be tried before preceding to other Surgical management like Be-lynch, uterine artery ligation orhysterectomy in cases of medical therapy failure.Key Words: primary postpartum hemorrhage, Medical Management, Condom catheter, Response rate.

Use of balloon tamponade in management of vaginal laceration and its possible complication of urinary stress incontinence: a case report

BackgroundPostpartum haemorrhage from vaginal lacerations can occasionally be refractory to suturing and vaginal packing. Bakri uterine balloon has been widely adopted to stop uterine bleeding, but its use to stop bleeding in vaginal lacerations and its possible complications have seldom been reported.Case presentationWe report a patient who had vacuum delivery for fetal distress and subsequently had postpartum hemorrhage due to previous caesarean uterine scar rupture and multiple vaginal lacerations. The severe bleeding persisted despite total abdominal hysterectomy, pelvic embolization and vaginal gauze packing, but was finally controlled by a Bakri balloon tamponade inserted into the vagina. The patient suffered from severe stress incontinence after delivery. The possible use of balloon tamponade in vaginal lacerations and the different types of vaginal balloons that are available in the market for this purpose are reviewed. The possible causes leading to stress incontinence is reported to alert the obstetrician that such management is not free of complications.ConclusionThe use of Bakri balloon can help to control bleeding in severe vaginal lacerations that are unresponsive to traditional vaginal gauze packing. Further studies are needed to evaluate the risks of stress incontinence as a possible complication of vaginal balloon tamponade.

A low-cost uterine balloon tamponade for management of postpartum hemorrhage: modeling the potential impact on maternal mortality and morbidity in sub-Saharan Africa

BackgroundPostpartum hemorrhage (PPH) is the leading cause of maternal deaths worldwide. This study sought to quantify the potential health impact (morbidity and mortality reductions) that a low-cost uterine balloon tamponade (UBT) could have on women suffering from uncontrolled PPH due to uterine atony in sub-Saharan Africa.MethodsThe Maternal and Neonatal Directed Assessment of Technology (MANDATE) model was used to estimate maternal deaths, surgeries averted, and cases of severe anemia prevented through UBT use among women with PPH who receive a uterotonic drug but fail this therapy in a health facility. Estimates were generated for the year 2018. The main outcome measures were lives saved, surgeries averted, and severe anemia prevented.ResultsThe base case model estimated that widespread use of a low-cost UBT in clinics and hospitals could save 6547 lives (an 11% reduction in maternal deaths), avert 10,823 surgeries, and prevent 634 severe anemia cases in sub-Saharan Africa annually.ConclusionsA low-cost UBT has a strong potential to save lives and reduce morbidity. It can also potentially reduce costly downstream interventions for women who give birth in a health care facility. This technology may be especially useful for meeting global targets for reducing maternal mortality as identified in Sustainable Development Goal 3.

Role of condom catheter balloon tamponade in management of atonic postpartum haemorrhage in cases of failed medical management

Role of condom catheter balloon tamponade in management of atonic postpartum haemorrhage in cases of failed medical management

Vaginal bilateral cervical lips suture in combination with intrauterine Foley catheter to arrest postpartum hemorrhage

Vaginal bilateral cervical lips suture allows retention of intrauterine Foley catheter in women with a dilated cervix. This novel indication for vaginal bilateral cervix suture may be a useful adjunct to intrauterine balloon tamponade in the management of postpartum hemorrhage. Objective: To describe an effective, minimally invasive surgical technique for avoiding intrauterine balloon tamponade prolapse. Materials and Methods: This procedure was performed in the delivery room with or without bladder retraction. The cervix was grasped with two ring forceps and firmly pulled outward, two cm horizontal suture of the cervical lips was made at both the three and nine o’clock positions, which were placed two cm as close to the cervix external os, without transversing the cervicovesical reflection anteriorly and the pouch of Douglas posteriorly, then one or more Foley catheters were inserted through the cervix and inflated with saline 60-80 ml each. Results: The balloons remained in place and hemorrhage abated in all nine cases. Conclusion: vaginal bilateral cervical lips suture can prevent intrauterine balloon prolapse, which may be a useful adjunct to intrauterine balloon tamponade in management of postpartum hemorrhage.

O037 USE OF BALLOON TAMPONADE IN MANAGEMENT OF SEVERE VAGINAL POSTPARTUM HEMORRHAGE AND VAGINAL HEMATOMA: A CASE SERIES

International Journal of Gynecology & ObstetricsVolume 119, Issue S3 p. S273-S274 Free communication (oral) presentations O037 USE OF BALLOON TAMPONADE IN MANAGEMENT OF SEVERE VAGINAL POSTPARTUM HEMORRHAGE AND VAGINAL HEMATOMA: A CASE SERIES G. Ghirardini, G. GhirardiniSearch for more papers by this authorC. Alboni, C. AlboniSearch for more papers by this authorM. Mabrouk, M. MabroukSearch for more papers by this author G. Ghirardini, G. GhirardiniSearch for more papers by this authorC. Alboni, C. AlboniSearch for more papers by this authorM. Mabrouk, M. MabroukSearch for more papers by this author First published: 22 October 2012 https://doi.org/10.1016/S0020-7292(12)60467-6AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume119, IssueS3Abstracts of XX FIGO World Congress of Gynecology and ObstetricsOctober 2012Pages S273-S274 RelatedInformation