These include: 1) progressive uterine devascularization, 2) uterine compression sutures, and 3) intrauterine
balloon tamponade. One caveat is that there is very little high-quality evidence from randomized trials to compare the efficacy or outcome of these uterine-sparing surgical interventions.
Then selected patients were placed randomly into group A (intrauterine
balloon tamponade) and group B (B Lynch suture) by using lottery method.
Conservative methods for the management of PPH include use of prostaglandins,
balloon tamponade and compression sutures.
Good ward-level management by a senior nurse, with support of the facility procurement department, is important to ensure continuous availability of essential medications, fluids, infusion sets and equipment for
balloon tamponade. If all of the above are in a 'PPH box', time will not be wasted searching for items during an emergency, and the completeness of the items can be more easily checked on a daily basis.
[2] Haemorrhage can be reduced by preoperative uterine artery
balloon tamponade. Multidisciplinary team and blood bank preparation may help in reducing maternal morbidity and mortality.
To maintain sufficient circulation and tissue oxygen supply in PPH, and to stop the hemorrhage simultaneously, interventions such as uterotonic agents, use of Bakri
balloon tamponade, B-lynch suture, uterine artery or hypogastric artery ligation, uterine artery embolization, and when necessary, hysterectomy in addition to general obstetric procedures are life-saving (3,4).
The
balloon tamponade is a minimally invasive, safe procedure that helps prevent sepsis, massive loss of blood, excessive use of antibiotics, sutures, surgery and other loads, in particular, disability of women.
Initially managed conservatively with intrauterine
balloon tamponade and anaemia correction and discharged home.
When Ms Juma's colleague heard the dreaded distress call, she rushed in with a uterine
balloon tamponade (UBT), a water-filled condom balloon, which was inserted into Rebecca's uterus and water pumped inside.
The condom
balloon tamponade was first reported by Gonen et al.
Injury to the IEA can lead to fatal consequences unless managed aptly, the traditional approach to manage IEA entails external compression,
balloon tamponade [6], thrombin injection [9], coil, and gel foam embolization [10].
Uterine atony, the most common cause of PPH, should be managed in a deliberate fashion beginning with fundal massage, bladder drainage, and administration of uterotonics, followed by aortic compression and rapid placement of a uterine
balloon tamponade (UBT) device should hemorrhage continue unabated [1].