Treatment of postpartum hemorrhage with intrauterine hydrostatic condom
Sandoval García-Travesí, F.A.; Hinojosa-Cruz, J.C.; Reyes-Hernández, M.U.; Sandoval-Barajas, D.; Lorca-Jiménez, G.; Mendoza-Reyes, E.; Cruz-Durán, J.G.
Ginecologia y Obstetricia de Mexico 84(4): 243-251
2016
ISSN/ISBN: 0300-9041 PMID: 27443100 Document Number: 688025
To report of experience of intrauterine hydrostatic condom to control obstetric hemorrhage. Descriptive, retro-prospective study. The method was use in patients who had obstetric hemorrhage and do not responded to medical management during the period from March 1st to August27, 2015 in a rural facility. 955 patients that had a vaginal delivery were identified, 40 (4.1%) of which needed the application of the method. The method was unsuccessful in 2 of 40 patients (5%), one requiring emergency obstetric hysterectomy and other exploratory laparotomy with conservative measures. 11 of 40 patients (2 7.5%) required at least 1-3 globular packs transfusion. None of the 38 patients (95%) who responded to the method presented endometritis in the postpartum follow up or complications associated with the use of hydrostatic condom. The use of intrauterine hydrostatic condom is an effective method to control postpartum obstetric hemorrhage secondary to uterine atony unresponsive to medical management.