12. Efficacy of Intrauterine Balloon Catheter in Control of Bleeding from Placental Bed during Caesarean Section in Cases of Major Placenta Praevia
Sania Pirzada1, Tanweer Akhtar2, Shaista Tabassum Abro2, Shazia Shaikh2, Shabnam Naz1 and Fouzia Kashif1
ABSTRACT
Objective: To determine the efficacy of intrauterine balloon catheter in control of bleeding from placental bed during cesarean section in major placenta praevia.
Study Design: A descriptive case series study
Place and Duration of Study: This study was conducted at the Shaikh Zaid Women Hospital, Obstetrics and Gynaecology Unit-III, SMBBMU, Larkana from March 2016 to September 2016
Materials and Methods: Sixty two patients of age 18-35 years, having an alive singleton pregnancy, gestational age of >37 to 42 weeks and diagnosed case of major placenta praevia were consecutively selected. Patients with placenta accrete, uterine anomalies, submucosal uterine fibroids, preeclampsia, instrumental deliveries and hemoglobin concentration <8 g/dL were excluded. Mean + SD, frequencies & percentages were calculated. Chi-square was used as a test of significance with a P value <0.05 taken as significant.
Results: Mean age ± SD was 28.18 ± 5.0 years (Range 18-35). Parity ranged from zero to 3 with a mean parity ± SD of 1.45 ± 0.18 children. Mean ± SD gestational age of was 38.65 ± 1.30 weeks (37-42). Mean age ± SD amount of blood loss was 644.97 ± 418.81 milliliters. (Range: 251-2415ml). The efficacy of balloon catheter in the prevention of bleeding (primary outcome) was 88.7%. The post-stratification analysis showed that efficacy of balloon catheter in the prevention of bleeding was more with elder maternal age, higher gestational age, lower SE status, higher gravida), higher parity and normal weight but statistically non-significant.
Conclusion: The use of intrauterine balloon catheter in cases of major placenta praevia as the first step in order to prevent intractable PPH as well as minimize the chances of undesirable hysterectomy.
Key Words: Placenta praevia, intrauterine balloon catheter, Caesarean section, Postpartum Hemorrhage.
Citation of articles: Pirzada S, Akhtar T, Abro ST, Shaikh S, Naz S, Kashif F. Efficacy of Intrauterine Balloon Catheter in Control of Bleeding from Placental Bed during Caesarean Section in Cases of Major Placenta Praevia. Med Forum 2019;30(2):47-51.