Postpartum Hemorrhage Clinical Trial
Official title:
Use of Foley's Catheter Balloon Tamponade to Control Placental Site Bleeding Resulting From Placenta Previa During Cesarean Section
Post-partum haemorrhage due to placenta previa is usually from the placental bed at the lower
uterine segment and it occurs after the placenta separation. Although, nowadays the
obstetrician can diagnose placenta previa before delivery, it is still one of the important
causes of maternal mortality . Hysterectomy can be the only effective action to take,
although it carries many morbidities for the women especially those with low parity.
Uterine packing considers as a line of treatment before performing surgical procedures in
postpartum hemorrhage resulting from placental site bleeding. It can save life, avoid
laparotomy and save uterus.
Nowadays, the use of intrauterine balloons have been developed and become effective for the
control of placental site bleeding not responding to medical treatment. The 2-way Foley's
Cather has many advantages over the gauze packing; First, it allows drainage of blood so no
occult bleeding could be accumulated inside the uterus as in uterine gauze, second the
removal of the Foley's Cather balloon is easy and not a painful, third, the removal of 2-way
Foley's Cather could be gradually as a test of its effectiveness before complete removal .
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