Original Article Open AccessComparison of Efficacy of Surgical Interventions (Balloon Tamponade versus B-lynch Suture) to Prevent Postpartum Hemorrhage in Patients with Placenta Previa – a Randomized Controlled Trial

Sarah Nisar; Salma Nisar; Qasim Zaheer; Muhammad Awais Qarni; Nasreen Hassan Niazi; Muhammad Ali Bhatti

doi:10.51253/pafmj.v74i4.7750

Authors

Sarah Nisar Department of Obstetrics & Gynecology, Combined Military Hospital Rawalakot/National University of Medical Sciences (NUMS) Pakistan
Salma Nisar Department of Obstetrics & Gynecology, Combined Military Hospital Kharian Medical College, Kharian Cantt/National University of Medical Sciences (NUMS) Pakistan
Qasim Zaheer Department of Medicine, Combined Military Hospital Rawalakot/National University of Medical Sciences (NUMS) Pakistan
Muhammad Awais Qarni Department of Anesthesiology, Combined Military Hospital Jhelum/National University of Medical Sciences (NUMS) Pakistan
Nasreen Hassan Niazi Department of Obstetrics & Gynecology, Combined Military Hospital Jhelum/National University of Medical Sciences (NUMS) Pakistan
Muhammad Ali Bhatti Department of ENT, Combined Military Hospital Jhelum/National University of Medical Sciences (NUMS) Pakistan.

DOI:

https://doi.org/10.51253/pafmj.v74i4.7750

Keywords:

Balloon tamponade, Placenta previa, Postpartum hemorrhage.

Abstract

Objective: To compare mean blood loss by prophylactic balloon tamponade versus B-lynch suture in patients with placenta previa.

Study Design: Randomized controlled trial (Clinicaltrials.gov: NCT05133167).

Place and Duration of Study: Obstetrics and Gynecology Department, Combined Military Hospital, Jhelum Pakistan, from Apr to Oct 2021.

Methodology: A total of 60 patients with placenta previa, ranging in age from 18 to 40, were included in the study. Computer-generated random sample allocation was used to assign equal number of patients to Groups A and B. In Group-A, balloon tamponade (using Foley catheter 28 Fr) was used intra-operatively to prevent post-partum hemorrhage. Post-operative blood loss within first 24 hours was estimated by measuring the amount of blood collected in Foley balloon tamponade bag, in milliliters. In Group-B, B-lynch suture was used intra-operatively to prevent post-partum hemorrhage. Post-operative blood loss within first 24 hours was estimated by the weight difference of the pads before and after being used by the patient.

Results: The mean blood loss in Group-A (prophylactic balloon tamponade) was 118.97±20.26 ml, while it was 154.13±15.21 ml in Group-B (B lynch suture Group) (p-value=0.0001).

Conclusion: In cases of placenta previa, prophylactic balloon tamponade resulted in reduced post-intervention mean blood loss compared to B-lynch.

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