Postpartum Hemorrhage Clinical Trial
Official title:
Intrauterine Balloon Tamponade in the Management of Postpartum Hemorrhage in a Low Resource Setting
Intrauterine balloon tamponade in the management of postpartum hemorrhage in the obstetrics emergency ward in menoufiya university hospitals as a low resource setting.Guidelines for the management of postpartum hemorrhage involve a stepwise approach including the exclusion of retained products and genital tract trauma. Uterine atony, which is the most common cause, is dealt with uterine rubbing and various uterotonic agents. Among the new modalities introduced to arrest the bleeding is the uterine tamponade using various balloons and catheters. The condom catheter uses a sterile rubber catheter fitted with a condom for uterine tamponade .
Objectives: To evaluate the outcome of uterine balloon tamponade using condom-catheter in
the management of primary postpartum hemorrhage (PPH).
Material and Methods: Prospective observational study included 50 women with primary
postpartum hemorrhage unresponsive to uterotonics and bimanual compression, was conducted at
the department of Obstetrics &Gynecology, Menoufia University Hospital, Egypt. Clinical
assessment, laboratory investigations and intrauterine condom catheter were applied to all
patients. The primary outcome was the success of the balloon to stop bleeding, maternal
complications were assessed as secondary outcomes.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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