Condom catheter: a simple and efficacious alternative of hysterectomy in postpartum haemorrhage

Authors

  • Neeta Natu Department of Obstetrics and Gynecology, SAIMS and PGI, Indore, Madhya Pradesh, India
  • Vandna Singh Department of Obstetrics and Gynecology, SAIMS and PGI, Indore, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20192456

Keywords:

Condom catheter, Peripartam hysterectomy, Postpartum hemorrhage, Uterine atony, Uterine tamponade

Abstract

Background: The aim of this study was to evaluate the effectiveness of the condom catheter in treating postpartum hemorrhage refractory to medical treatment.

Methods: This prospective study included 21 women with postpartum hemorrhage treated with a condom catheter as a conservative therapeutic option.

Results: The condom catheter was successful in controlling hemorrhage in 90.4% of the women. It was effective in all women with vaginal delivery (11 of 12) and highly effective in women with uterine atony who did not respond to medical uterotonic treatment (6 of 7 women).

Conclusions: Its ease of use and high effectiveness make the condom catheter a useful approach for the conservative management of acute postpartum hemorrhage. This device reduces bleeding, shortens the hospital stay and avoids the need for surgical management.

Author Biography

Vandna Singh, Department of Obstetrics and Gynecology, SAIMS and PGI, Indore, Madhya Pradesh, India

 

 

References

World Health Organization (WHO). Attending to 136 million births, every year. Chapter 4. In: Make Every Mother and Child Count: TheWorld Report 2005, Geneva, Switzerland: WHO, 2005; 62-63.

Johanson R, Kumar M, Obhrai M, Young P. Management of massive postpartum haemorrhage: use of a hydrostatic balloon catheter to avoid laparotomy. BJOG. 2001;108(4):420-2.

Airede LR, Nnadi DC. The use of the condom-catheter for the treatment of postpartum haemorrhage: the Sokoto experience. Trop Doct. 2008;38(2):84-6.

Bagga R, Jain V, Sharma S, Suri V. Postpartum haemorrhage in two women with impaired coagulation successfully managed with condom catheter tamponade [2]. Indian J Med Sci 2007;61(3):157-60.

Turner GD. Uterine haemorrhage controlled by an intrauterine balloon insufflated with hot water. Hosp Med. 2002;63(7):438.

Akhter S, Begum MR, Kabir Z, Rashid M, Laila TR, Zabeen F. Use of a condom to control massive postpartum haemorrhage. Med Gen Med. 2003;5(3):38.

Belfort MA, Dildy GA. Postpartum hemorrhage and other problems of the third stage. In: James DK, Steer PJ, Weiner CP, eds. High risk Pregnancy: Management options. 4th edition. Saunders Elsevier; 2011:1283-1312.

Nahar N, Yusuf N, Ashraf F. Role of intrauterine balloon catheter in controlling massive PPH: experience in Rajshahi Medical College Hospital. The Orion Med J. 2009;32(3):682-3.

Sheikh L, Najmi N, Khalid U, Saleem T. Evaluation of compliance and outcomes of a management protocol for massive postpartum haemorrhage at a tertiary care hospital in Pakistan. BMC Pregnancy Childbirth. 2011;11:28.

Sequeira E, Patel Y. Acute puerperal uterine inversion: a case report. East Afr Med J. 2007;84:194–6.

Hostetler DR, Bosworth MF. Uterine inversion: a life threatening obstetric emeregnecy. J Am Board Fam Pract. 2000;13(2):120-3.

Rossen J, Okland I, Nilsen OB, Eggebø TM. Is there an increase of postpartum hemorrhage, and is severe hemorrhage associated with more frequent use of obstetric interventions? Acta Obstet Gynecol Scand. 2010;89(10):1248-55.

Georgiou C. Balloon tamponade in the management of postpartum haemorrhage: a review. BJOG. 2009;116(6):748-57.

Doumouchtsis SK, Papageorghiou AT, Vernier C, Arulkumaran S. Management of postpartum hemorrhage by uterine balloon tamponade: prospective evaluation of effectiveness. Acta Obstet Gynecol Scand. 2008;87(8): 849-55.

Dabelea V, Schultze PM, McDuffie RS. Intrauterine balloon tamponade in the management of postpartum hemorrhage. Am J Perinatol. 2007;24(6):359-64.

Rachagan SP, Sivanesaratnam V, Kok KP, Raman S. Acute puerperal inversion of the uterus. An obstetric emergency. Aust NZJ Obstet Gynaecol. 1988;28:29-32.

Yoong W, Ridout A, Memtsa M, Stavroulis A, Aref-Adib M, Ramsay-Marcelle Z, et al. Application of uterine compression suture in association with intrauterine balloon tamponade (‘uterine sandwich’) for postpartum hemorrhage. Acta Obstet Gynecol Scand. 2012;91(1):147-51.

Rathore AM, Gupta S, Manaktala U, Gupta S, Dubey C, Khan M. Uterine tamponade using condom catheter balloon in the management of non-traumatic postpartum hemorrhage. J Obstet Gynaecol Res. 2012 Sep;38(9):1162-7.

Rather SY, Qadir A, Parveen S, Jabeen F. Use of condom to control intractable PPH. JK Science 2010;12(3):127-9.

Shivkar KS, Khadilkar SS, Gandhewar M. Pressure balloon therapy in uncontrolled obstetrical haemorrhage. J Obstet Gynecol India 2003;53:338-41.

Bakri YN, Amri A, Abdul Jabbar F. Tamponade balloon for obstetrical bleeding. Int J Gynaecol Obstet. 2001;74(2):139-42.

Condous GS, Arulkumaran S, Symonds I, Chapman R, Sinha A, Razvi K. The “temponade test” in the management of massive postpartum hemorrhage. Obstet Gynecol. 2003;101(4):767-72.

Seror J, Allouche C, Elhaik S. Use of Sengstaken-Blakemore tube in massive postpartum hemorrhage: a series of 17 cases. Acta Obstet Gynecol Scand 2005;84(7):660-4.

Downloads

Published

2019-05-28

Issue

Section

Original Research Articles