Role of intrauterine condom tamponade in control of postpartum haemorrhage in patients with placenta praevia

Postpartum haemorrhage is the most common type of obstetric haemorrhage and accounts for the majority of the 14 million cases annually. Approximately 7% of the maternal deaths caused by obstetric hemorrhage are related to placenta previa. This condition complicates approximately 4 in 1,000 pregnancies that are over 20 weeks of gestation. Over the last two decades, use of balloon tamponade has been reported for the management of postpartum hemorrhage. This study was done to evaluate the effect of intrauterine condom tamponade in control of PPH in patients with placenta praevia.This prospective study was done in the Department of Obstetrics and Gynaecology at Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak on thirty patients with placenta previa undergoing caesarean section.Patients who developed intractable postpartum haemorrhage (PPH) and did not respond to the conventional medical management were included in the study.Analysis was carried out using SPSS (Statistical Package for Social Studies) for Windows version 20.0.It was found that with condom balloon tamponade 26(86.66%) women had no complications postoperatively.Out of 30 patients 19 patients required single or multiple blood transfusion while 11 (36.66%) patients did not require any blood transfusion.It may be concluded that early attention and intensive management of PPH are mandatory for good maternal outcome. Condom balloon tamponade a minimally invasive procedure, is very effective for control of uterine/placental bed bleeding following delivery of placenta.It provides a very effective tamponade effect and reduces the need of further surgical intervention to great extent. It is cost effective, readily available, easy to assemble and has minimal side effects with high success rate.