Condom catheter tamponade versus surgical adjuncts for PPH in placenta previa and accreta: A prospective study

Postpartum hemorrhage in placenta previa and accreta is difficult to manage, especially in low-resource settings where costly devices like Bakri balloons are not readily available. Therefore, it is of interest to evaluate the effectiveness of a condom catheter in controlling hemorrhage during 29 cesarean deliveries. Patients were managed with tamponade alone or in combination with placental bed suturing and/or uterine artery ligation. Results showed significant differences in hemostasis time and blood loss. The combination of tamponade with uterine artery ligation was most effective, while placental bed suturing increased blood loss and tamponade alone resulted in delayed hemostasis. Thus, we show that condom catheter tamponade combined with uterine artery ligation is an effective and affordable option for managing hemorrhage in resource-limited settings.