Efficacy of Intrauterine Condom Balloon in the Treatment of Atonic Postpartum Hemorrhage

Introduction: Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality, particularly in cases of uterine atony. Effective management is crucial to prevent severe complications and improve maternal outcomes. Intrauterine balloon tamponade techniques, such as the use of a condom balloon tamponade (CBT), have gained attention for their potential to control bleeding quickly and safely. This study aimed to assess the efficacy of intrauterine condom balloons in the treatment of atonic postpartum hemorrhage. Methods: This study is a prospective observational study conducted to assess the efficacy of intrauterine condom balloon tamponade (CBT) in the management of atonic postpartum hemorrhage (PPH). The study was carried out at the Department of Obstetrics and Gynecology in Dhaka Medical College Hospital, from January 2007 to December 2007. A total of 50 patients were selected by a purposive sampling technique. All collected data were analyzed using SPSS software (version 25.0). For continuous variables (e.g., blood loss, time to hemostasis), comparisons between groups (e.g., successful vs. unsuccessful tamponade cases) were performed using the Student’s t-test. For categorical outcomes, the Chi-square test was used to compare proportions. A p-value of < 0.05 was considered statistically significant. Result: Intrauterine condom balloon tamponade (CBT) effectively managed atonic postpartum hemorrhage in 50 participants, achieving an 84% cessation of bleeding within 30 minutes. The average saline volume used was 500 mL, with a notable 16% of cases requiring additional surgical interventions, primarily hysterectomy. Blood transfusion was necessary for 68% of participants, with higher transfusion needs in cases of failed CBT. Maternal complications were minimal, with 8% experiencing postpartum fever and 4% developing uterine infections. The mean hospital stay was 5.0 days, with 40% staying longer than 5 days, reflecting the need for ongoing ..........