DOI: 10.36347/sjams.2019.v07i05.067

Pages: 2020-2026

Primary Postpartum Hemorrhage (PPH) still is one of the leading causes of maternal morbidity and mortality in both developed and developing countries. Globally, it is estimated that severe PPH occurs in about 11% of women who give a live birth. This was a prospective type of study undertaken with the objective to evaluate the efficacy of condom balloon catheter in Utero for controlling non traumatic Primary Postpartum Hemorrhage in Dhaka Medical College Hospital, Dhaka, Bangladesh during the period from February 2013 to July 2013. The study population was 50. Data was collected by structured oriented questionnaire. Fifty (50) cases with Primary Postpartum Hemorrhage fulfilled the inclusion and exclusion criteria were selected. The age of the patient ranged from 18 to 40 years. 58% had primary level of education, 62% were of lower socioeconomic status. 30 (60%) of respondents were multigravida and 52% had no or inadequate antenatal care. Forty two (84%) patients developed PPH in this hospital and other 16% were referred from outside. Normal vaginal delivery in 28 (56%) patients, assisted vaginal delivery in 1 (2%), LSCS in 21 (42%) patients. Time interval between delivery and onset of PPH, 40 (80%) patients had immediate onset and others 10 (20%) started to bleed within 24 hours. Among the cases more than half of the patients 28 (56%) had uterine height more than 20 weeks. In 40 (80%) cases condom introduce within 0-4 hours and in rest of the cases 10 (20%), it was introduced within 5-24 hours. Among twenty four cases (48%) condom was kept for 24 hours and in 26 (52%) it was kept for 48 hours. More than half of the patient required more than 1 unit of blood transfusion. Few patients 3 (6%) did not require blood transfusion. The mean duration of stay was 5.1 days, modal duration was 5 days, standard deviation was 2.16 and the total duration ranged from 2 to 12 days. In spite of the large range of stay, more than three- fourth 42 (84%) of the respondents were released