Management of Primary Post Partum Hemorrhage by Balloon Tamponade,SAMY NICOLAS, MOHAMAD M. KHARE, PETER GEYOUSHI and MOHAMAD A.S. AHMED
Abstract
Objective: To assess the use of balloon tamponade in management of primary post partum hemorrhage.
Patient and Methods: A retrospective review of postpartum records of women with massive postpartum hemorrhage between January 2003 and 2006. Primary postpartum hemor-rhage were identified in 62 patients in which there was a blood loss of over 1000mls the records of 40 cases were reviewed.
Results: Two of 40 cases needed a hysterectomy seven women had been identified as being managed by insertion of intrauterine balloon catheter of these six of seven were suc-cessfully managed one women needed a hysterectomy.
Conclusion: We advocate the increase used of intrauterine balloon tamponade for the management of massive obstetric hemorrhage before resorting to invasive procedure.