EFFICACY OF INTRAUTERINE BALLOON TAMPONADE FOR TREATMENT OF POST-PARTUM HEMORRHAGE

Abstract

OBJECTIVE: To research the effectiveness of intra uterine balloon tamponade (IUBT) in women

who do not respond to standard treatment in stopping postpartum hemorrhage. METHODOLOGY:

This was retrospective case series study, conducted for 01 year from November 2019 to November

2020 at gynae unit Women and Children Hospital Abbottabad. Consecutive non-probability sampling

was the sample strategy utilised. Following vaginal birth, all PPH patients who were not responding to

medical treatment were included. Individuals with retained placentas, genital tract injuries, and

coagulation abnormalities were not included. It was done with an intra-uterine balloon tampon (IUBT).

RESULTS: Total 160 patients with post-partum hemorrhage due to uterine atony not responding to

medical treatment were included, who underwent the insertion of folleys catheter balloon tamponade.

All of them had vaginal delivery. Success rate was 95.6%. Only 07 patients (4.3%) had failed treatment

with balloon tamponade. Six of them under went bilateral uterine artery ligation and B- Lynch suture

application. One patient required subtotal hysterectomy for massive PPH. CONCLUSION: IUBT

was shown to be a less invasive treatment that exhibited greater efficacy and safety in managing

postpartum haemorrhage following a normal vaginal delivery.