To evaluate the clinical efficacy of two types of condom uterine balloon tamponade systems, namely Chhattisgarh condom balloon device “CG balloon (CGB)” having a central drainage channel as well as indigenous tying system to fasten condom to the catheter and conventional condom uterine balloon device (C-UBT) as a second-line intervention in post-partum haemorrhage (PPH).
Materials and Methods
The present non-randomised prospective case series was carried out from December 2014 to September 2016 and included 60 women having PPH which was refractory to first-line management and who were treated with either of the two condom balloon tamponade devices prepared on spot. Women with allergy to latex, retained placenta, uterine rupture, anomaly, genital infection and/or malignancy were excluded. Case report forms were filled for all participants and analysed. Primary outcome was arrest of haemorrhage, and one of the secondary outcomes was cost and consistency of the devices.
CGB was used in 46 and C-UBT in 14 women. The overall success rate was 98.33%. The mean blood loss was 1417 mL. Women of C-UBT group had greater blood loss, higher inflation volume and delays due to technical issues (OR 7.6). CGB was cheaper and more consistent than C-UBT by omitting the use of suture material.
CGB and conventional condom balloon tamponade both are easy to use, feasible and efficacious for control of PPH, but CGB condom balloon device has the advantage of a central drainage lumen for real-time assessment of blood loss and therefore early corrective action.
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Conflict of interest
All the authors declare that they have no conflict of interest.
All procedures followed were in accordance with ethical standard of the responsible committee on human experiments (institutional and national) and with the 1975 Declaration of Helsinki, as revised in 2008(5). Informed consent was obtained from all patients for being included in the study.
Human and Animal Rights
This article does not contain any studies with animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
Nalini Mishra is currently working as Professor, Kanchan Gulabani is working as Resident Medical Officer, Sumi Agrawal is working as Assistant Professor, and Chandrashekhar Shrivastava is working as Associate professor in the Dept of O&G, Pt JNM Med College, Raipur, Chhattisgarh, India.
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Mishra, N., Gulabani, K., Agrawal, S. et al. Efficacy and Feasibility of Chhattisgarh Balloon and Conventional Condom Balloon Tamponade: A 2-Year Prospective Study. J Obstet Gynecol India 69, 133–141 (2019). https://doi.org/10.1007/s13224-018-1185-6
- Post-partum haemorrhage
- Innovative condom balloon tamponade
- CG Balloon
- Low-resource settings
- Maternal mortality