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

Abstract

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 UBT (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.