Role of uterine balloon tamponade to avert morbidity and mortality due to post-partum haemorrhage in pregnancy with hepatitis e virus infection: A case series

Abstract

Aim: To assess the role of condom balloon tamponade in arresting the primary PPH in pregnant women with hepatitis. Material and methods: This case series included pregnant women with hepatitis e admitted in department of obstetrics and gynecology of a medical college from January 2016 to April 2020. Demographic details, labour findings and feto-maternal outcome was noted and assessed. Results: During study period 40 women presented with hepatitis e. 20 were included in study group and 20 in control group. Condom balloon tamponade prevented PPH in women with hepatitis e with a success rate of 100% (P value=0.01). It controlled PPH with DIC, severe anaemia and hepatic encephalopathy as depicted by OR<1. Balloon tamponade had averted invasive procedures like pelvic devascularisation, compression sutures and peripartum hysterectomy in these women. Conclusion: Condom balloon tamponade has a definite role in averting PPH in hepatitis e pregnancy thus improving the maternal and fetal outcome.