A Cross Sectional Comparative Study of Two Different Methods: Intrauterine Bakri Balloon Tamponade Versus Intrauterine Gauze Packing in The Management of Postpartum Haemorrahge in A Tertiary Care Hospital in Gwalior, Madhya Pradesh

Authors

  • Pratibha Garg Associate Professor, Department of Obstetric and Gynaecology G. R. Medical College, Gwalior, Madhya Pradesh, India
  • Renu Jain Associate Professor, Department of Obstetric and Gynaecology G. R. Medical College, Gwalior, Madhya Pradesh, India

Keywords:

Postpartum haemorrhage (PPH), bakri balloon, intrauterine gauze packing

Abstract

Background: Obstetric haemorrhage is one of the most serious complication during delivery. It accounts for one quarter of major direct causes of maternal deaths globally; while it rises up to nearly one third in Africa and Asia. Postpartum haemorrhage the most common type of obstetric haemorrhage. If there is persistent atonic PPH despite treatment with first line conventional basic measurement such as uterotonic drugs and other conservative interventions, second line intervention should be used without further delay. Uterine Balloon Tamponade has been added to the treatment modalities of PPH. Uterine gauze packing which is another conservative procedure, although it is readily available and inexpensive measure for the management of PPH , it is questioned and civilized because of the potential risk of post partum infection, uterine trauma and ineffective packing, concealed haemorrhage. Method: In this cross sectional comparative study we reviewed 50 cases of PPH who were managed with intrauterine gauze packing and 19 cases who were managed with intrauterinr Bakri ballon insertion. A comaparative study was done between in the two methods in controlling PPH. The study was conducted in the department of obstetrics and gynaecology, G.R. Medical College, Gwalior, M.P. Results: The commonest method for using both the methods i.e. intrauterine gauze packing and bakri balloon is atonic PPH. Both method has success rate of 90 % in Bakri balloon method and 94 % in intrauterine gauze packing method. Intrauterine gauze packing method is associated with febrile morbidity, wound sepsis and difficulty in removal. Conclusion:Intrauterine bakri balloon insertion and intrauterine gauze packing both methods are safe, quick and effective conservative procedures for controlling postpartum haemorrhage, which avoids the need for more aggressive procedure to save life of mother.

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Published

2021-05-27

How to Cite

Pratibha Garg, & Renu Jain. (2021). A Cross Sectional Comparative Study of Two Different Methods: Intrauterine Bakri Balloon Tamponade Versus Intrauterine Gauze Packing in The Management of Postpartum Haemorrahge in A Tertiary Care Hospital in Gwalior, Madhya Pradesh. International Journal of Health and Clinical Research, 4(10), 208–211. Retrieved from https://www.ijhcr.com/index.php/ijhcr/article/view/1637