Comparing the Effectiveness of JH Balloon Tamponade and Foley's Condom Balloon Tamponade in Preventing Atonic Postpartum Hemorrhage: A Study from NSCB Medical College, Jabalpur
Authors/Creators
- 1. Senior Resident, Department of Obstetrics and Gynaecology, NSCB Medical College, Jabalpur, Madhya Pradesh
- 2. Assistant Professor, Department of Anaesthesia, NSCB Medical College, Jabalpur, Madhya Pradesh
- 3. Senior Resident, Department of Paediatrics, NSCB Medical College, Jabalpur, Madhya Pradesh
Description
Background: Postpartum hemorrhage (PPH) is one of the major causes of massive obstetric hemorrhage in obstetric settings. World Health Organization (WHO) and the Federation of Gynecology and Obstetrics (FIGO) recommend using uterotonics followed by intrauterine balloon tamponade to manage PPH. Aim and Objectives: This study evaluates the efficacy and safety of two methods for controlling atonic postpartum hemorrhage: the JH balloon tamponade and the Foley’s condom balloon tamponade (FC). Materials and Methods: One hundred patients with atonic PPH were split into two groups for the prospective randomized control trial: Group 1 (n=50) was treated with Foley’s condom balloon management, and Group 2 (n=50) was treated with JH balloon tamponade. The outcome metrics were the time to inject the UBT and the time to halt bleeding. The balloon’s slipperiness and other unwanted consequences were also recorded. Long-term effects on menstruation, the uterine cavity, and pregnancy were assessed by following the patients for six months. Results: The success rate of JH balloon tamponade was 92% (p=0.74), while the success rate of FC balloon tamponade was 88% (p=0.74). Four of the four failures in the JH group were treated with B-Lynch sutures and uterine artery ligation (p=0.418), while two of the six failures in the FC group were treated with each of these procedures (p=0.418). Mean times to make, insert, and inflate the catheter (3.01 vs. 3.12 minutes; p=0.09) and to halt bleeding (7.08 vs. 6.91 minutes; p=0.65) were similar between the FC and JH groups. Slippage of balloon tamponade occurred in 1 patient in the JH group compared to 10 patients in the FC group (p=0.008). No long-term complications were reported by patients in either the FC or JH groups after six months of follow-up. During their regular menstrual periods, they experienced no discomfort. Conclusion: The success rates of the Foley’s condom balloon and the JH balloon tamponade were high and similar to 92%. Both balloon tamponade methods efficiently use available resources and may be made quickly and easily even at a health center with limited means located in a rural area. Therefore, both balloon types can be employed effectively in atonic PPH treatments as a non-invasive alternative to surgical interventions.
Abstract (English)
Background: Postpartum hemorrhage (PPH) is one of the major causes of massive obstetric hemorrhage in obstetric settings. World Health Organization (WHO) and the Federation of Gynecology and Obstetrics (FIGO) recommend using uterotonics followed by intrauterine balloon tamponade to manage PPH. Aim and Objectives: This study evaluates the efficacy and safety of two methods for controlling atonic postpartum hemorrhage: the JH balloon tamponade and the Foley’s condom balloon tamponade (FC). Materials and Methods: One hundred patients with atonic PPH were split into two groups for the prospective randomized control trial: Group 1 (n=50) was treated with Foley’s condom balloon management, and Group 2 (n=50) was treated with JH balloon tamponade. The outcome metrics were the time to inject the UBT and the time to halt bleeding. The balloon’s slipperiness and other unwanted consequences were also recorded. Long-term effects on menstruation, the uterine cavity, and pregnancy were assessed by following the patients for six months. Results: The success rate of JH balloon tamponade was 92% (p=0.74), while the success rate of FC balloon tamponade was 88% (p=0.74). Four of the four failures in the JH group were treated with B-Lynch sutures and uterine artery ligation (p=0.418), while two of the six failures in the FC group were treated with each of these procedures (p=0.418). Mean times to make, insert, and inflate the catheter (3.01 vs. 3.12 minutes; p=0.09) and to halt bleeding (7.08 vs. 6.91 minutes; p=0.65) were similar between the FC and JH groups. Slippage of balloon tamponade occurred in 1 patient in the JH group compared to 10 patients in the FC group (p=0.008). No long-term complications were reported by patients in either the FC or JH groups after six months of follow-up. During their regular menstrual periods, they experienced no discomfort. Conclusion: The success rates of the Foley’s condom balloon and the JH balloon tamponade were high and similar to 92%. Both balloon tamponade methods efficiently use available resources and may be made quickly and easily even at a health center with limited means located in a rural area. Therefore, both balloon types can be employed effectively in atonic PPH treatments as a non-invasive alternative to surgical interventions.
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IJPCR,Vol15,Issue5,Article212.pdf
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Additional details
Dates
- Accepted
-
2023-05-19
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue5,Article212.pdf
- Development Status
- Active
References
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