Balloon Tamponade Versus Gauze Packing for Postpartum Hemorrhage

Comparison of Efficacy of Uterine Balloon Tamponade Versus Uterine Gauze Packing in Patients With Postpartum Hemorrhage With Uterine Atony

Postpartum hemorrhage due to uterine atony is a major cause of maternal morbidity and mortality. This randomized controlled trial aims to compare the efficacy of uterine balloon tamponade and uterine gauze packing in controlling bleeding in women with postpartum hemorrhage. A total of 216 participants will be randomly assigned to one of the two treatment groups. All patients will receive standard medical management including uterotonic agents prior to intervention. The primary outcome is cessation of uterine bleeding within 24 hours after the procedure. This study aims to identify a safe and effective method for managing postpartum hemorrhage in a resource-limited setting.

Inclusion Criteria:

• Women aged 18 to 40 years
• Gestational age between 37 and 42 weeks
• Parity up to 4
• Diagnosed with postpartum hemorrhage due to uterine atony

Exclusion Criteria:

• Postpartum hemorrhage due to perineal, cervical, or vaginal trauma
• Retained products of conception
• Vaginal delivery after previous cesarean section
• Known coagulation disorders
• Sepsis