Advertisement

Easy Balloon: The Easiest to Assemble Condom Balloon Uterine Tamponade for Primary Level of Health Care Centres

  • Nalini Mishra
  • Chandrashekhar Shrivastava
  • Sumi Agrawal
  • Anchala Mahilange
  • M. Mamta Sai
  • Kanchan Gulabani
Instrumentation and Techniques
  • 88 Downloads

Postpartum haemorrhage (PPH) is the major contributor to maternal mortality in the developing countries.

There is evidence of substandard care in most of deaths due to PPH mainly at the level of primary care in resource poor settings due to lack of facility for surgery or blood transfusions. Women with PPH are often referred to a higher centre in a critical state and many of them succumb on the way. These deaths are largely preventable.

As per WHO, 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 or if uterotonics are not available [1]. The balloon tamponade is reported to be successful in 80–100% cases [2].

A simple condom balloon uterine tamponade (CBT) device which is assembled on the spot using basic minimum resources is the most feasible second-line intervention for management of PPH in low-resource settings [3].

Surprisingly, this potentially lifesaving simple intervention is not...

Notes

Compliance with ethical standards

Conflict of interest

The Authors declares that they has no conflict of interest.

Supplementary material

Supplementary material 1 (MP4 8534 kb)

Supplementary material 2 (MP4 24122 kb)

Supplementary material 3 (WMV 2857 kb)

References

  1. 1.
    World Health Organization (WHO). WHO recommendations for the prevention and treatment of postpartum haemorrhage. Geneva: World Health Organization (WHO); 2012.Google Scholar
  2. 2.
    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
  3. 3.
    Tindell K, Garfinkel R, Abu-Haydar E, et al. Uterine balloon tamponade for the treatment of postpartum haemorrhage in resource-poor settings: a systematic review. BJOG. 2013;120(1):5–14.CrossRefPubMedGoogle Scholar
  4. 4.
    Mishra N, Shrivastava C, Agrawal S, Gulabani K. The CG balloon is an innovative condom balloon tamponade for the management of postpartum hemorrhage in low-resource settings. Int J Gynecol Obstet. 2016;. doi: 10.1016/j.ijgo.2015.10.014.Google Scholar
  5. 5.
    Mishra N, Agrawal S, Gulabani K, Shrivastava C. Use of an innovative condom balloon tamponade in postpartum haemorrhage: a report. J Obstet Gynecol India. 2016;66(1):63–7. doi: 10.1007/s13224-015-0818-2.CrossRefGoogle Scholar

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2017

Authors and Affiliations

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

Personalised recommendations