Intrauterine Condom Tamponade in Management of Post Partum Hemorrhage

Abstract

Aims: To analyze the outcome of intrauterine balloon tamponade using fluid filled latex condom attached to Foley’s catheter (condom tamponade) in the management of postpartum hemorrhage.

 Methods: This is a retrospective descriptive study of 29 women with postpartum hemorrhage unresponsive to pharmacological agents and managed with condom tamponade in Paropakar Maternity and Women’s Hospital, Nepal from 13^th February 2015 to 12^th February 2016. Data were entered in Microsoft office excel (2007).

 Results: Majority (n=20) of women were 20-29 years and 52% of them (n=15) were primipara. Seventy percent women (n=20) delivered at term and vaginal delivery was the most common mode of delivery (72.41%, n=21). Sixty-two percent (n=18) had blood loss of <1000ml and condom tamponade was successful in 27 out of 29 women. One woman each needed internal iliac artery ligation and peri-partum hysterectomy.                                                                             

Conclusions: Intrauterine condom tamponade is the effective method of arresting postpartum hemorrhage due to a wide variety of causes.