Assessment Of Efficacy Of Balloon Tamponade In The Management Of Postpartum Haemorrhage

Abstract

Background: Post-partum hemorrhage (PPH) remains a major cause of maternal death with uterine atony implicated in up to 80% ofall bleedings. The present study was conducted to assess efficacy of balloon tamponade in the management of postpartum hemorrhage.Materials & Methods: 45 patients of postpartum hemorrhage were managed with balloon tamponade.Results: The mean height was 63.2 cms, weight was 145.2 kgs, gravida was 2.5 and gestational age was 37.2 weeks. Pre-balloon andpost-balloon BMI (Kg/m2) was 27.2 and 28.9, multiple pregnancies was 24 and 11, and history of uterine surgery was seen in 11 and14, mean haemoglobin was 12.4 and 12.4 respectively. The difference was significant (P< 0.05). There were 25 patients with anyinvasive procedure and 12 and overall transfusion was seen in 42 and 16 in pre- balloon and post- balloon cases respectively. Thedifference was significant (P< 0.05).Conclusion: The implementation of IUTB in PPH protocol for caesarean delivery was associated with a drastic drop in second-lineinvasive procedures.