CG Balloon Application

Abstract

Post partum hemorrhage is a nightmare for all the obstetricians. If not controlled, it can lead to maternal mortality to the extent of 30%. Even a mother having normal antenatal and intranatal events can have PPH making it a life-threatening and unpredictable third stage complication.The conservative methods include various uterotonics including oxytocin, PGF alpha, PGE 2 1 analogues, methylergometrine to bimanual uterine massage to uterine packing to B-Lynch suture to stepwise devascularization, with last resort being hysterectomy, thereby sealing the future obstetrical career of the patient. Efforts are going on for a more conservative approach to control PPH and to save hysterectomy. Another conservative approach is hydrostatic intrauterine balloon tamponade. Bakri catheter, Sengstaken Blakemore tube which are used for this approach are effective but either not available or very costly. India's answer to these is CG Balloon (Chhattisgarh balloon) which has been made by an Indian obstetrician from Raipur. It can be made with minimal costs and effectively controls postpartum hemorrhage. In our 3 case series we have used CG balloon for PPH during LSCS and saved maternal mortality