JPSIM Journal of Pakistan Society of Internal Medicine J Pak Soc Intern Med 2709-8729 2710-0804 Pakistan Society of Internal Medicine 10.70302/jpsim.v6i4.2568 jpsim.v6i4.2568 Original Research Efficacy of Intrauterine Balloon Tamponade in the Management of Postpartum Hemorrhage when Uterotonic Agents Fail Munir Maryam Mukhtar Hira Irshad Saba sabairshaad@gmail.com * Ghaffar Sadia Ayyaz Mehwish Lady Aitchison Hospital, Lahore Sir Ganga Ram Hospital, Lahore Fatima Memorial Hospital, Lahore *Correspondence: Saba Irshad (sabairshaad@gmail.com) 21 11 2025 2025 6 4 368 372 30 05 2025 28 08 2025 10 11 2025 Copyright © 2025 The Author(s) 2025 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective

To determine the efficacy of intrauterine balloon tamponade in the management of postpartum hemorrhage when uterotonic agents fail.

 Methodology

It was a descriptive case series study carried out in Obstetrics & Gynecology Department, Lady Aitchison Hospital, Lahore for 6 months.35 females were enrolled. Females underwent balloon tamponade by using condom. Then females kept under observation in ward for 15 minutes. If blood flow stopped within 15 minutes and no recurrence occurred after removing tamponade after 24 hours, then efficacy was labeled using SPSS 26.

 Results

Mean age of patients was 26.4±3.81 years, there were 9(27%) nulliparous. The Mean gestational age was 38.22±0.68 weeks. In this study the efficacy of balloon tamponade achieved among 30(86%) females.

 Conclusion

Intrauterine balloon tamponade is efficacious tool for postpartum hemorrhage management when uterotonic agents fail.

 Keywords Uterotonic Efficacy Intrauterine Balloon Tamponade PPH Ethics Statement

Ethics committee: Institutional Review Board / Ethics Committee (IRB/EC). Approval number: 287-88/CE/TD, dated July 30, 2024.

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