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Use of an Innovative Condom Balloon Tamponade in Postpartum Haemorrhage: A Report

  • Nalini Mishra
  • Sumi Agrawal
  • Kanchan Gulabani
  • Chandrashekhar Shrivastava
Instrumentation & Techniques

Introduction

In order to meet the Millennium Development Goals [1], we must achieve a reduction in the deaths due to postpartum haemorrhage (PPH) which is the major contributor in the developing countries [2]. As per WHO recommendations, the use of intrauterine balloon tamponade (UBT) is recommended for the treatment of PPH due to uterine atony if women do not respond to uterotonics [3]. FIGO also included uterine balloon tamponade as a recommended second-line intervention for the treatment of PPH [4]. The successful outcome of balloon tamponade is reported to be 80–100 % [5]. This high efficacy avoids surgery which is often delayed or may be unavailable thereby costing the women her life. Intrauterine balloon may also be used as a temporizing measure while awaiting transfer or to resuscitate her.

The commercially available uterine-specific devices are designed with an intrauterine drainage port but have a prohibitively high cost. Low resource settings have to rely on lower cost...

Keywords

Uterine Bleeding Operation Theatre Ergometrine Balloon Tamponade Fundal Height 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Compliance with Ethical Standard

Conflict of interest

The authors declare that there is no conflict of interest.

References

  1. 1.
    Trends in maternal mortality: 1990 to 2010. WHO, UNICEF, UNFPA and The World Bank estimates. Geneva: WHO; 2012. http://whqlibdoc.who.int/publications/2012/9789241503631_eng.pdf. Last accessed 1 Sept 2012.
  2. 2.
    Countdown to 2015: maternal, newborn and child survival [Internet]. WHO and UNICEF; 2012. http://www.countdown2015mnch.org/documents/2012Report/2012-Complete.pdf. Last accessed 1 Sept 2012.
  3. 3.
    World Health Organization (WHO). WHO recommendations for the prevention and treatment of postpartum haemorrhage. Geneva: World Health Organization (WHO); 2012.Google Scholar
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    FIGO. FIGO guidelines: prevention and treatment of postpartum hemorrhage in low-resource settings. Int J Gynaecol Obstet. 2012;117:108–18.CrossRefGoogle Scholar
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    Georgiou C. A review of current practice in using Balloon Tamponade Technology in the management of postpartum haemorrhage. Hypertens Res Pregnancy. 2014;2:1–10.CrossRefGoogle Scholar
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    Ranathunga GA. Post partum haemorrhage, severe acute maternal morbidity and the condom catheter uterine tamponade. D A Ranasinghe Oration 2013. Sri Lanka J Obstet Gynaecol. 2013;35(4):100–11.Google Scholar

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2015

Authors and Affiliations

  • Nalini Mishra
    • 1
  • Sumi Agrawal
    • 1
  • Kanchan Gulabani
    • 1
  • Chandrashekhar Shrivastava
    • 1
  1. 1.Pt. J N M Medical College & BRAM Hospital Raipur (C.G.)RaipurIndia

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