Abstract: Objectives: Postpartum Hemorthage (PPH) is the largest direct cause of maternal death around the world. When the standard conservative management fails, surgical interventions including hysterectomy is required. This is not only requires surgical skills but hysterectomy results in irreversible loss of fertility. Bakri Balloon Tamponade (BBT) is a novel conservative procedure which should be considered before other surgical procedures. This study was done to know the effectiveness of this upcoming procedure as little known about the same till date.
Materials and Methods: The study was conducted in the department of Obstetrics and Gynecology, SMGS, GMC Jammu. BBT was done in 30 patients after failure of initial conservative management of PPH.
Results: Among the cases treated with BBT, uterine atony was seen in 11 (36%) patients, placenta previa/percreta in 7(23%) patients, placenta retention in 7(23%), bleeding from placental implantation site in 3(10%) patients and secondary PPH in 2(6%) cases. PPH could not be controlled and additional surgical procedures were required. Hysterectomy was required in 3 patients and uterine compressive sutures in 1 patient.
Conclusion: BBT is one of the most non-surgical interventions, due to its relative simplicity and ease of use in the management of PPH. Even if BBT failed, it may provide temporary tamponade and time to prepare for other interventions or transportation from local hospital to tertiary centre.
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