Efficacy of Balloon Tamponade in Management of Primary Post-Partum Hemorrhage

. Nasim; Saima Parveen; Hira Farooqui; Nabila Muslim

doi:10.54112/bcsrj.v6i6.2384

Authors

. Nasim Department of Obstetrics & Gynaecology, Saidu Group of Teaching Hospitals, Swat, Pakistan
Saima Parveen Department of Obstetrics & Gynaecology, Saidu Group of Teaching Hospitals, Swat, Pakistan
Hira Farooqui Department of Obstetrics & Gynaecology, Saidu Group of Teaching Hospitals, Swat, Pakistan
Nabila Muslim Department of Obstetrics & Gynaecology, Saidu Group of Teaching Hospitals, Swat, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v6i6.2384

Keywords:

Balloon tamponade, primary postpartum haemorrhage, efficacy, Sengstaken-Blakemore catheter, uterine atony

Abstract

Primary postpartum haemorrhage is a major cause of preventable maternal morbidity and mortality. Balloon tamponade provides a minimally invasive option for controlling bleeding when initial medical management fails. Objective: To determine the efficacy of balloon tamponade in the management of primary postpartum hemorrhage. Methods: One hundred fifty three women aged 20 to 40 years presenting with primary postpartum haemorrhage who were unresponsive to conservative treatment were included in this study from 29-January-2025 to 29-May-2025 in the department of Obstetrics and Gynecology, Saidu Group of Teaching Hospital, Swat . Those patients with suspected deeply invasive placenta accreta, fever >38°C, uterine malformations, preoperative uterine artery embolization and bleeding controlled with uterotonics were excluded. Balloon tamponade was performed by inserting a Sengstaken-Blakemore oesophageal catheter in uterine cavity and filling it with up to 500ml of normal saline for 24 hours. Efficacy was defined as no vaginal bleeding 24 hours after balloon insertion. Data were analysed using SPSS 22.0. Results: The mean age of the 153 patients in the present study was 28.62±6.23 years. The mean blood loss was 902.77±167.74 ml. Vaginal delivery was conducted in 97 (63.4%) cases while caesarean section was conducted in 56 (36.6%) cases. Balloon tamponade was found to be effective in 130 (85.0%) patients while treatment failed in 23 (15.0%) cases. No statistically significant associations of efficacy were observed with age, mode of delivery, residence, profession, educational level or socioeconomic status. Conclusion: The present study showed 85% efficacy of balloon tamponade in the management of postpartum hemorrhage. The procedure proved to be equally effective in different age groups, modes of delivery, residential backgrounds, educational levels and socioeconomic status.

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