EFFICACY OF INTRAUTERINE BALLOON TAMPONADE IN THE MANAGEMENT OF REFRACTORY POST-PARTUM HEMORRHAGE

Abstract

Background: Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide. Refractory PPH, unresponsive to first-line medical management, requires timely and effective intervention to prevent life-threatening outcomes. Intrauterine balloon tamponade (UBT) has emerged as a minimally invasive, fertility-preserving method to control atonic bleeding.

Objectives: To evaluate the efficacy of intrauterine balloon tamponade in the management of refractory postpartum hemorrhage and compare outcomes based on the type of balloon used.

Study Design & Setting: A prospective interventional study conducted at the Department of Obstetrics and Gynecology, CMH Kharian over a period of six months.

Methodology: A total of 120 women with refractory PPH following vaginal or cesarean delivery were included. UBT was performed using either a 28 French Folleys Catheter or a condom catheter after failed medical management. Data on patient demographics, mode of delivery, cause of PPH, volume instilled, complications, and success rates were collected. Statistical analysis was conducted using SPSS version [insert version], and p-values < 0.05 were considered significant.

Results: The overall success rate of UBT was 85.0%, with 90.0% success in the 28 French Folleys Catheter group and 78.0% in the condom catheter group (p = 0.038). Vaginal deliveries had a significantly higher success rate compared to cesarean deliveries (p = 0.041). Complications were minimal, and 30.0% of patients experienced no morbidity.

Conclusion: Intrauterine balloon tamponade is a safe and effective intervention for refractory PPH and should be considered before surgical options.