Comparison of efficacy of balloon inflation and uterovaginal packing for control of primary postpartum hemorrhage after vaginal delivery

Sana Ujala; Najma Shaheen; Rabia Khicchi; Ammad Masood

Abstract
Objective: To compare the effectiveness of balloon inflation and uterovaginal packing after vaginal delivery in controlling primary postpartum hemorrhage
Methodology: This randomized controlled trial was done in the department of Obstetrics and Gynecology, Bahawal Victoria Hospital, Bahawalpur from November 2019 to May 2020. It included 104 patients with postpartum hemorrhage with age 18 to 40 years. Patients with cesarean section, abnormal blood coagulation profile and twin pregnancy were excluded. They were randomly divided into group A (balloon inflation) and group B (uterovaginal packing). Efficacy in controlling bleeding was recorded.
Results: Mean age of women in group A was 27.69±3.68 and in group B 27.60±3.64 years. Efficacy in control of hemorrhage was seen in 46 (88.46%) patients in Group A while in Group B, it was in 34 (65.38%) patients (p=0.005).
Conclusion: Balloon inflation technique for control of primary postpartum hemorrhage was better as compared to uterovaginal packing technique.

Key words: Postpartum hemorrhage, vaginal packing, balloon inflation.

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