EFFICACY AND SAFETY OFFOLEYS CATHETER FOR UTERINE TAMPONADE IN THE MANAGEMENT OF POSTPARTUM HEMORRHAGE AT A TERTIARY CARE CENTRE IN PESHAWAR
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Abstract
Objective: To determine the efficacy and safety of Foley’s catheter for uterine tamponade in the management of postpartum hemorrhage due to uterine atony.
Material and methods: This observational study was conducted in the tertiary care hospital i.e. Department of Obstetrics and Gynecology Khyber Teaching Hospital Peshawar. A hundred patients with non-traumatic post-partum hemorrhage were enrolled from January 2021 to 31st July 2022. After the failure of medical therapy, Foleys catheter was placed in the intrauterine cavity for twenty-four hours to achieve uterine tamponade to stop bleeding in patients with postpartum hemorrhage. All the variables including vital signs and the amount of blood collected in the bag attached to the Foley’s catheter were noted and entered into a proforma. The main outcome measures were success rate in controlling hemorrhage, the time required to stop bleeding, and subsequent morbidity and technical difficulties. The average time taken to control bleeding was four minutes. Data were analyzed by SPSS 23.
Results: The age of the patients ranged from 20-36 yearshile gestational age and parity were noted to be 37-39 weeks and 1-6 respectively. Foleys catheter for uterine tamponade was found successful in 98% of our patients who had uterine atony. Bleeding was stopped in 98 patients with this procedure. The Foleys catheter used was of 16 Fr size which is commonly available in our labor room setup. The total amount of fluid filled in the Foleys catheter was 240ml. The mean amount of time for which the catheter was in situ was 12.5 hours. Three patients had infective morbidity.
Conclusion: The use of Foley’s catheter for uterine tamponade in the management of postpartum hemorrhage is a highly successful procedure.
Key Words: Postpartum hemorrhage. Foleys catheter, uterine balloon tamponade.
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