title: Bakri balloon versus condom-loaded Foley's catheter for treatment of atonic postpartum hemorrhage secondary to vaginal delivery: a randomized controlled trial.
abstract: OBJECTIVE
  To assess the efficacy and safety of condom-loaded Foley's catheter versus Bakri Balloon in the management of primary atonic post partum hemorrhage (PPH) secondary to vaginal delivery.
  
  
  METHODS
  This study was single blinded randomized controlled trial conducted at Assiut Woman's Health Hospital, Egypt in the period between October 2014 and December 2015. It Comprised 66 women with primary atonic PPH following vaginal delivery. Eligible participants were randomly assigned to Bakri balloon (group A) or condom-loaded Foley's catheter (group B). The primary outcome was the success of tamponade to stop the uterine bleeding without additional surgical interventions. Secondary outcomes included time between insertion and stoppage of the bleeding, the amount of blood transfusion and maternal complications.
  
  
  RESULTS
  Both treatment modalities successfully controlled the primary atonic PPH without a statistically significant difference [30/33(91.0%) and 28/33(84.84%), p = .199; respectively]. However; Bakri balloon required shorter time to stop the uterine bleeding (9.09 min vs. 11.76 min, p = .042; respectively). There was no statistically significant difference between both groups regarding postpartum maternal complications, the vital signs, urine output, hemoglobin and hematocrit levels from before to after tamponade insertion.
  
  
  CONCLUSIONS
  Condom-loaded Foley's catheter is as effective as Bakri balloon in the management of primary atonic PPH following vaginal delivery but requires a significant bit longer time to stop the attack.
authors.affiliation: a Woman's Health University Hospital, Assiut University , Assiut , Egypt.
authors.forename: Atef M
authors.initials: AM
authors.lastname: Darwish
authors.affiliation: a Woman's Health University Hospital, Assiut University , Assiut , Egypt.
authors.forename: Mohamed M
authors.initials: MM
authors.lastname: Abdallah
authors.affiliation: a Woman's Health University Hospital, Assiut University , Assiut , Egypt.
authors.forename: Omar M
authors.initials: OM
authors.lastname: Shaaban
authors.affiliation: a Woman's Health University Hospital, Assiut University , Assiut , Egypt.
authors.forename: Mohammed K
authors.initials: MK
authors.lastname: Ali
authors.affiliation: a Woman's Health University Hospital, Assiut University , Assiut , Egypt.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Khalaf
authors.affiliation: a Woman's Health University Hospital, Assiut University , Assiut , Egypt.
authors.forename: Ali Mohamed A
authors.initials: AMA
authors.lastname: Sabra
mesh_terms: D000328:Adult; D001803:Blood Transfusion / Q000706:statistics & numerical data; D017280:Condoms; D036861:Delivery, Obstetric / Q000009:adverse effects; D004534:Egypt; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D016037:Single-Blind Method; D013997:Time Factors; D016896:Treatment Outcome; D014546:Urinary Catheterization / Q000379:methods*; D058738:Uterine Balloon Tamponade / Q000191:economics / Q000379:methods*; D014593:Uterine Inertia; D055815:Young Adult
keywords: Bakri balloon tamponade; Foley catheter tamponade; postpartum hemorrhage; postpartum hemorrhage management