Evaluating Foleys Balloon Catheter Tamponade in Non –Traumatic Postpartum Haemorrhage Resistant to Medical Management and Preventing Unwanted Hysterectomy
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 7
Abstract
Background: Obstetric haemorrhage remains the most important cause of maternal mortality worldwide accounting for 25% of maternal deaths annually. The aim of the study was to evaluate efficacy of a foleys balloon catheter assembly for uterine tamponade in the management of non-traumatic postpartum haemorrhage (PPH). Methods: It is a prospective interventional study done in a tertiary care hospital in Tamilnadu state, Vellore district, Government Vellore Medical college Adukkamparai, India.. 145 women with intractable PPH unresponsive to medical management are managed by intrauterine Foleys balloon tamponade using a foleycatheter assembly prior to surgical intervention. Results: The Foleys balloon catheter tamponade successfully controlled haemorrhage in131 out of 145 patients. It is observed that among the 12 failed cases, hysterectomy was required. Further the cases were managed by doing bilateral internal iliac artery ligation. Among the failed cases there was a one maternal death due to sepsis and multi-organ dysfunction syndrome(MODS). It is also observed that in all cases where the balloon was successful, it was removed around 24 hours later and no further bleeding or complication was noted. Conclusions: Placement of a Foleys catheter balloon tamponade can successfully treat non-traumatic PPH refractory to medical management. It is simple, inexpensive, easily available and in those with successful placement no procedure related morbidity was observed. The potential for this method is it can be used inexperienced operators in areas with limited resources and makes it a useful tool in management of PPH.
Authors and Affiliations
Dr A. Rajeswari
Keywords
Related Articles
- EP ID EP527396
- DOI -
- Views 38
- Downloads 0
Correlation of spleen size with oesophageal varices in cirrhosis of liver
Esophageal varies is the most dreaded complications of cirrhosis of liver responsible for high mortality and morbidity in these patients. As per current guidelines these patients need to go periodic screening with upper...
Role of Colour Doppler in the Prediction of Perinatal Outcome in Intrauterine Growth Restrictions
Analyzing umbilical artery, middle cerebral artery, and uterine artery by Doppler Velocimetry in intrauterine growth restricted foetuses, in order to predict adverse peri-natal outcomes and also the clinical management o...
Volvulus of transverse colon
The term volvulus is derived from the Latin word meaning torsion or twisting. Anatomy of the large intestine is very clear. The colon and its mesentery twist, leading to a closed loop colonic obstruction, a more proximal...
Complex Regional Pain Syndrome-Acute Myocardial Infarction Unveiling: Case Report
Complex regional pain syndrome(CRPS),formerly known as reflex sympathetic dystrophy, are neuropathic pain conditions usually affecting one limb, after an injury, due to damage or malfunction of peripheral and central ner...
Ewing’s Sarcoma in a Rural Medical College Hospital in West Bengal- A Retrospective Study
Objective: To outline the epidemiological profile and prognostic factors for Ewing's sarcoma in a rural medical college in hilly area in West Bengal Material and Methods: The medical records of 27 patients with Ewing's s...