intrauterine ballon tamponade for the control of postpartum

8/18/2019 Intrauterine Ballon Tamponade for the Control of Postpartum

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Intrauterine ballon tamponade for the cof postpartum haemorrhage

Wulan dewi Farichah201420401011078


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Introduction Postpartum haemorrhage (PP! is one of the ma"or causes of materna

morbidit# worldwide$

Primar# PP is de%ned as bleeding in e&cess of '00ml following ag

1000ml following caesarean section ()*! from the birth canal within 24 h It has man# potential causes+ but the commonest is uterineaton#+ respo

of cases$

-terine aton# is dealt with uterine rubbing and arious uterotonic aotocin+ ergometrine+ misoprostol and prostaglandin F2 alpha (P.F2/!$

If these attempts fail+ surgical interention would be reuired such a

arter# ligation+ uterine compression sutures and peripartum h#sterectom ecentl# uterine balloon temponade has been added to this armame

management of PP$

he current stud# was planned to ealuate the e3cac# of condom ballto arrest massie haemorrhage$


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ethods

comprised women aged 1856' #ears+ parit# 15 and gestational age

who deeloped or were admitted with PP due to uterine aton# followdelier#+ instrumental delier# or )* in whom medical treatmemisoprostol and P.F2/! had failed$

edical treatment of primar# PP due to uterine aton# includ

s#ntometrine+ prostaglandins and combination of these drugs along wmassage and compression$

9nce the initial medical management failed and before proceedinginterention+ balloon tamponade for control of PP

:alloon tamponade was labelled e;ectie if there was no bleeding 100ml blood loss occured postballoon tamponade for 48 hours$


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esult

Failure in 16 cases was due to di3cult# incorrect placement due to large si


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=iscussion Intrauterine tamponade with balloon catheter is another option that ca

the management of massie PP$

hough the tamponade was e;ectie in most cases+ 10, cases reuiredespite successful placement of the catheter$

)ondom catheter is an ine&pensie and readil# aailable method$ It is sin deeloping countries with a low institutional delier# rate+ can be prabirth attendants (:>s! while the# mae arrangements for transportatio

he in?ated condom conforms naturall# to the uterine contour and e&e

pressure on the sinuses+ which stops the bleeding$ It is in?ated until thecontrolled and usuall# 2'05600ml su3ces$


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conclusion

• )ondom balloon tamponade was

controlling PP$

• considering its ease of use+ low rate and abilit# to maintain reprodu

intrauterine ballon tamponade for the control of postpartum

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