Intrauterine Balloon Tamponade versus Gauze Packing for Treatment of Post-Partum Hemorrhage
Abstract
Objective: To compare the efficacy and safety of uterine balloon tamponade with uterine gauze packing in terms of success rate and complication to arrest the massive postpartum haemorrhage in women not responding to medical treatment.
Methodology: This was a prospective comparative cross-sectional study conducted for six months from Jan to June 2019 at Liaquat University of Medical and Health Sciences. The sampling technique used was non-probability consecutive sampling. All the patients with PPH not responding to medical treatment after vaginal delivery were enrolled. Cases with genital tract trauma retained placenta and coagulation disorders were excluded. Patients were divided into two groups. Uterine balloon tamponed (UBT) was used in group A and group B intrauterine gauze packing (IP). A comparison of two groups in terms of success rate was analyzed on spss version 22.
Results: A total of 103 patients were included; out of them, 50 underwent BTand 53 underwent uterine gauze packing; there was no remarkable difference among both groups according to age p-value of 0.502. Booked cases were higher in both groups, with a p-value of 0.513. The success rate was significantly higher in the balloon tamponade group at 96.0%, compared to the uterine gauze packing group at 84.9%, with a p-value of 0.048. Safety was more in BT Group 46(92.0%), and infection was common morbidity with uterine gauze packing group 13(24.5%) as compared to BT 4(8.0%) group, with a p-value of 0.001.
Conclusion: It was concluded that BT showed better efficacy and safety in managing postpartum haemorrhage after normal vaginal delivery.
Keywords: Balloon tamponade, efficacy, Intra uterine packing, PPH
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