Uterine Balloon Tamponade by JH Balloon: A Simple, Efficient and Cost Effective Method
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 3
Abstract
Introduction: JH balloon (simple and special) is effective, cheap, fast and “easy to made” method to control atonic PPH, especially in low resource setting. Study was done with the objective to study the effectiveness of “JH uterine balloon tamponade” to control atonic postpartum haemorrhage and to know the effect of this tamponade on uterofallopian anatomy three months after delivery. Material and Methods: JH balloon tamponade was applied in 83 cases. It was applied when oxytocics and bimanual compression of uterus failed. Contraindications were chorioamnionitis, congenital anomaly of uterus and traumatic PPH. “Simple JH balloon” was applied in 60 (70.328%) cases “Special JH balloon” was applied in 23 (27.17%) cases. It was applied in 69 (83.13%) cases of atonic PPH following vaginal delivery and 14 (16.86%) cases following LSCS (post-operative). Result: Failure rate was 3.61%. Laparotomy was required in three cases. In one case only hysterectomy was required. No mortality was there. Conclusion: JH balloon is effective, cheap, fast and “easy to made” method to control atonic PPH.
Authors and Affiliations
Neelam Nalini, Aditya Vardhan Singh, Bijeta A, Shashi Singh, Jitendra Kumar Singh
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