Condom Tamponade in the Management of Primary Postpartum Haemorrhage: A Report of three cases in Ghana.
نویسندگان
چکیده
Postpartum haemorrhage is one of the major causes of maternal mortality worldwide. The leading cause of primary postpartum haemorrhage is uterine atony and active management of the third stage of labour with oxytocin is recommended for preventing primary postpartum haemorrhage. Parenteral oxytocin is also the drug of choice for medical management of postpartum haemorrhage secondary to uterine atony. Condom uterine balloon tamponade is .a low cost technique that can be used as a second-line option for treatment. We report retrospectively three cases of primary PPH secondary to uterine atony which were managed successfully with condom tamponade. Condom tamponade is effective in managing post partum haemorrhage secondary to uterine atony and we advocate for the training of all skilled attendants on how to insert the condom tamponade.
منابع مشابه
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 b...
متن کاملBalloon tamponade in the management of postpartum haemorrhage: a review.
Obstetric haemorrhage is a significant contributor to worldwide maternal morbidity and mortality. Guidelines for the management of postpartum haemorrhage (PPH) involve a stepwise escalation of pharmacological and eventual surgical approaches. The method of uterine tamponade using balloons has recently been added to the armamentarium for managing PPH. There are various balloons available includi...
متن کاملMassive primary postpartum haemorrhage: setting up standards of care.
OBJECTIVE To review practice of massive primary postpartum haemorrhage management and develop a protocol. METHODS Cross-sectional study conducted at the Department of Obstetrics and Gynaecology at Aga Khan University Hospital, Karachi between January 1, 2003 and July 31, 2004. Women with primary postpartum haemorrhage and had blood loss > or = 1000ml were included in the study. Medical record...
متن کاملBalloon tamponade for postpartum haemorrhage: case series and literature review.
OBJECTIVES To audit the use of intrauterine balloon tamponade for the management of massive postpartum haemorrhage and compare outcomes with those documented in the literature. DESIGN Retrospective case series. SETTING Obstetric Unit of a regional hospital in Hong Kong. PATIENTS All cases with severe postpartum haemorrhage from January 2011 to June 2012 in which Bakri intrauterine balloon...
متن کاملImprovised condom catheter with a draining channel for management of atonic post partum haemorrhage.
Primary postpartum haemorrhage (PPH) is one of the five leading causes of maternal mortality in both developed and developing countries [1] . During the last two decades various uterine taponade devices have been used successfully in the management of PPH [2-5]. Success rates for the control of postpartum bleeding have ranged from 71% to 87% [6, 7]. So far, the Bakri balloon is the only balloon...
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ورودعنوان ژورنال:
- African journal of reproductive health
دوره 19 3 شماره
صفحات -
تاریخ انتشار 2015