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Santosh University Journal of Health Sciences


Resurgence of Balloon Tamponade in the Management of Post-Partum Haemorrhage


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Author Details: Neelima Agarwal, Manisha Gupta, Amita Sharma, Alpana Agarwal

Volume : 2

Issue : 1

Online ISSN : 2455-1732

Print ISSN :

Article First Page : 21

Article End Page : 24


Abstract

Postpartum hemorrhage (PPH) in developing countries continues to be the single most common cause of maternal morbidity and mortality, accounting for approximately 25 percent of maternal deaths globally. Fourteen million cases of PPH occur each year. Deaths and serious complications resulting from PPH can be attributed largely to the lack of available emergency obstetrical interventions, inadequate referral systems, and the delivery of substandard care(1)
A balloon tamponade is a minimally invasive obstetric intervention that can effectively treat and manage severe postpartum bleeding. When inserted into the uterus and slowly filled with saline water, it exerts pressure on the uterus until the bleeding stops. It works rapidly and effectively, reducing the need for risky surgical interventions and blood transfusions. It also serves a critical role in reducing blood loss until the woman can be transported to a facility that can provide surgical management and other treatment options. The World Health Organization, the International Federation of Gynecology and Obstetrics, and the International Confederation of Midwives recognize balloon tamponades as a method that could have significant impact in the management of intractable PPH.2
The origin of the word tamponade appears to have come from an old French word for tampon, which carries the connotation of a plug, a bung or a stopper inserted into an open wound or a body cavity to stop the flow of blood. In context to post-partum haemorrhage, normally, this is in the form of a gauze pack or a balloon catheter. Internal tamponade procedures have been used successfully alone3,4 or in combination with the Brace suture to reduce or arrest massive postpartum hemorrhage