Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 14 , ISSUE 2 ( March-April, 2022 ) > List of Articles


Condom Balloon Tamponade for Postpartum Hemorrhage in Developing Countries: Cost-effective Boon for Saving Mothers

Abhilasha Yadav

Keywords : Atonic postpartum hemorrhage, Balloon tamponade and postpartum hemorrhage, Catheter, Chhattisgarh balloon, Condom, Condom catheter and postpartum hemorrhage

Citation Information : Yadav A. Condom Balloon Tamponade for Postpartum Hemorrhage in Developing Countries: Cost-effective Boon for Saving Mothers. J South Asian Feder Obs Gynae 2022; 14 (2):189-191.

DOI: 10.5005/jp-journals-10006-2028

License: CC BY-NC 4.0

Published Online: 21-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Condom uterine balloon tamponade (UBT) has the advantage of being cheap and easily available for the control of postpartum hemorrhage (PPH) in cases where preliminary methods to control PPH fail. This study was conducted to study the efficacy of condom (Chhattisgarh balloon/CJ balloon) and its indications in a tertiary care center for the management of massive obstetric hemorrhage. Materials and methods: Women who were refractory to first-line management with uterine massage and uterotonics in cases of atonic uterus or failed attempt at surgical repair in lower genital tract tears were introduced indigenous made condom catheter as balloon tamponade because Bakri balloon, etc., are not a cost-effective option in developing countries. Results: Condom balloon tamponade is highly effective in managing postpartum hemorrhage. The mean volume of fluid used to create tamponade and stop bleeding was about 381.06 mL. The mean time taken to arrest bleeding after the application of balloon tamponade was 6.66 minutes. Only one patient needed hysterectomy. Conclusion: Modified condom UBT is a minimally invasive, easy to perform, cheap, and fertility-sparing treatment option and it has shown an excellent hemostatic effect even in the setting of DIC.

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  1. Yorifuji T, Tanaka T, Makino S, et al. Balloon tamponade in atonic bleeding induces uterine contraction: attempt to quantify uterine stiffness using acoustic radiation force impulse elastography before and after balloon tamponade. Acta Obstet Gynecol Scand 2011;90(10):1171–1172. DOI: 10.1111/j.16000412.2011.01169.x.
  2. Devine PC. Obstetric hemorrhage. Semin Perinatol 2009;33(2):76–81. DOI: 10.1053/j.semperi.2008.12.004.
  3. Condous GS, Arulkumaran S. Medical and conservative surgical management of postpartum hemorrhage. J Obstet Gynaecol Can 2003;25(11):931–936. DOI: 10.1016/s1701-2163(16)30241-9.
  4. Doumouchtsis SK, Papageorghiou AT, Vernier C, et al. Management of postpartum haemorrhage by uterine balloon tamponade: prospective evaluation of effectiveness. Acta Obstet Gynecol Scand 2008;87(8):849–855. DOI: 10.1080/00016340802179822.
  5. Dabelea V, Shultze PM, McDuffie Jr RS. Intrauterine balloon tamponade in the management of postpartum haemorrhage. Am J Perinatol 2007;24:359–364. DOI: 10.1055/s-2007-984402.
  6. Kucukbas M, Cevrioğlu S. Conservative treatment of postpartum bleeding with intrauterine ballon tamponade. J Turk Soc Obstet Gynecol 2010;7:305–308.
  7. Gao Y, Wang Z, Zhang J, et al. Efficacy and safety of intrauterine Bakri balloon tamponade in the treatment of postpartum hemorrhage: a multicenter analysis of 109 cases. Chin J Obstet Gynecol 2014;49(9):670–675. PMID: 25487453.
  8. Akhter S, Begum MR, Kabir Z, et al. Use of a condom to control massive postpartum haemorrhage. Med Gen Med 2003;5(3):38. PMID: 14600674.
  9. Rather SY, Qadir A, Parveen S, et al. Use of a condom to control intractable postpartum haemorrhage. JK Sci 2010;12(3):127–129.
  10. Rathore AM, Gupta S, Manktala U, et al. Uterine tamponade using condom cathetor ballon in the management of non traumatic postpartum haemorrhage. J Obstet Gynaecol Res 2012;38:1162. DOI: 10.1111/j.1447-0756.2011.01843.x.
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