Appraisal of Foley’s Catheter as Intra-Uterine Balloon Tamponade in controlling Post-Partum Hemorrhage.

Abstract

Objective: To appraise the efficacy of Foley’s catheter as balloon temponade in controlling PPH. Study Design: Monocentric Retrospective Impact study. Setting: Department of Obstetrics and Gynaecology of MTI, Hayatabad Medical Complex Peshawar. Period: January 2020 to December 2020. Material & Methods: This is a tertiary care hospital receiving all kind of patients including complicated cases referred by other health care units. All patients of PPH due to uterine atony who failed to respond to medical treatment were managed by using a Foley’s catheter balloon tamponade and made part of this study. Patients with PPH due to genital tract trauma and retained products or whom responded to medical treatment were excluded. The information and relevant data was obtained from the patient’s record and mortality register. Data was analyzed using simple statistical measures and the outcome expressed as frequencies and percentages etc. Results: In this study, 204 patients of PPH due to uterine atony were managed. 83 patients who failed to respond to medical treatment were managed by using a Foley’s catheter balloon tamponade. Balloon tamponade was effective in controlling PPH in 78 (93.98%) cases. Only 5 (6.02%) patients needed further surgical intervention. Conclusion: This study concludes that Foley’s catheter can effectively be used for controlling PPH to save lives and morbidity.