Evaluation of Hand Glove Tamponade Versus Foley’s Catheter (24 Fr) in the Management of Atonic Uterus in Postpartum Hemorrhage

 

  1. Dr Kainat Rafaqat, Azad Jammu and Kashmir medical college muzaffarbad
  2. Dr Tayyaba Manzoor, PMC Rawalakot
  3. Dr Maria khanum, AMC abbattobad
  4. Dr maryam javed, poonch medical college Rawalakot
  5. Dr Ibrar Nisar, Poonch medical college Rawalakot
  6. Dr Attia Mahmood, Ayub Medical College

 

 

Abstract  

Background: Postpartum haemorrhage (PPH) is a major contributor to maternal morbidity and mortality worldwide, especially in low-resource settings. Uterine atony is the most frequent cause of PPH. Balloon tamponade methods, such as Foley’s catheter, are commonly employed, but alternative low-cost methods like glove tamponade are gaining attention. Objectives: To compare the efficacy of hand glove balloon versus Foley’s catheter (24 Fr) in controlling bleeding from an atonic uterus following postpartum hemorrhage. Study Design & Setting: This was a randomized controlled trial conducted in the Department of Obstetrics and Gynecology, DHQ Hospital, Rawalpindi, over a period of six months. Methodology: A total of 66 women aged 18–40 years with PPH due to uterine atony following normal vaginal delivery were enrolled through consecutive non-probability sampling. They were randomly assigned into two equal groups: Group A received glove tamponade, and Group B received Foley’s catheter tamponade. Outcomes measured included efficacy of bleeding control, estimated blood loss, insertion time, hemoglobin levels, ICU admissions, and need for re-exploration. Results: Glove tamponade showed higher efficacy (93.9%) compared to Foley’s catheter (72.7%) with a statistically significant p-value (0.012). Mean blood loss was significantly lower in Group A (280.6 ± 75.3 mL) versus Group B (362.8 ± 96.4 mL). Fewer ICU admissions and re-explorations were also noted in the glove group. Conclusion: Glove tamponade is a simple, effective, and low-cost alternative to Foley’s catheter for managing atonic PPH, particularly in resource-constrained environments.  

Keywords: Atonic Uterus, Balloon Tamponade, Foley’s Catheter, Glove Tamponade, Postpartum Hemorrhage, Uterine Bleeding  

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