Use of Condom Tamponade to Manage Massive Obstetric Hemorrhage at a Tertiary Center in Rajasthan

Abstract

Conventionally, postpartum hemorrhage (PPH) is defined as blood loss of more than 500 mL, followed by vaginal delivery and 1000 mL followed by caesarean section. PPH is blood loss which causes a 10% drop in hematocritor which threatens the hemodynamic stability of the patient and needs blood transfusion. The purpose of this study is to evaluate the effectiveness of condom tamponade in the management of massive obstetric hemorrhage and  to evaluate the efficacy of a condom as a tamponade for intrauterine pressure to stop massive PPH. This prospective study was done in the Obstetrics and Gynecology Department of NIMS Medical College and Hospital, Jaipur, between December 2013 and February 2015. A sterile rubber catheter fitted with a condom was introduced into the uterus aseptically. The condom was inflated with 250–500 mL of normal saline.. Vaginal bleeding was observed and further inflation was stopped when bleeding ceased. In all but 2 (94.44%) the cases post-partum bleeding stopped within 10 min of creation of tamponade. On an average 350 mL of normal saline was required to create adequate tamponade to stop the bleeding. Use of condom tamponade can effectively help in reducing both maternal morbidity and mortality associated with PPH. This study encourages use of condom tamponade which is efficient, cost effective, and easily available and requires lesser skills as compared to the traditional surgical procedures

Keywords: Condom, tamponade, hemorrhage, postpartum, trauma

Cite this Article

Hasabe Rakesh, Gupta Kumud, Rathode Pallavi. Use of condom tamponade to manage massive obstetric hemorrhage at a tertiary center in Rajasthan. Research and Reviews: Journal of Health Professions. 2015; 5(2): 26–28p.