Online ISSN: 2515-8260

Keywords : vaginal delivery

Effectiveness of Bakri balloon for management of postpartum haemorrhage: A two-year retrospective cohort study

Dr. Lakshmi KS, Dr. Vasanth Kabbur, Dr. Kedareshvara KS

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 2579-2584

Introduction: Postpartum haemorrhage (PPH) is a preventable cause of maternal mortality and Active management of the third stage of laborious considered a gold standard for the management and prevention of PPH. Oxytocics like Oxytocin, Carbetocin, Methergin and Misoprostol are the mainstays of the management of PPH. When medical methods fail intrauterine balloon, tamponade has been suggested as an effective uterine conserving procedure, minimally invasive and requires less skill. The purpose of this study was to determine the indications, complications and effectiveness of Bakri balloon insertion performed at the tertiary care teaching hospital.
Patients and Methods: All cases of Bakri balloon insertion done between 1-01-2020 to 31-12-2021 at the Department of Gynecology and Obstetrics were retrospectively collected. The study group included women for whom the balloon was inserted vaginally and after caesarean delivery when medical methods fail to control PPH and PPH following Placenta previa. Demographic data, clinical characteristics, indications of Bakri balloon, amount of normal saline used, duration of Bakri balloon inside uterus, complications and effectiveness of Bakri balloon were studied.
Results: There were 24 patients who underwent Bakri balloon insertion. 14 patients were delivered by Cesarean section and 10 patients were delivered by vaginal delivery. 16 were multigravida and the majority were from the rural population. The most common indication for a Bakri balloon in our study is the Atonic uterus. The Bakri balloon was effective in 83.33%. (20/24). Out of 4 women, two women required emergency peripartum hysterectomy and 2 women expired.
Conclusion: The Bakri balloon was highly effect vein our study and can be used when medical management fails. It reduces the need for peripartum hysterectomy and saves woman reproductive function. It avoid sun necessary blood product transfusion and reduces the duration of hospital stay.

A study to assess the perception of postnatal mothers regarding received nursing care

Mr. Bibin Kurian; Ms. Pradhnya M; Ms. Anjali L; Mr. Prashil M; Ms. Ashwini M; Ms. Pooja N; Manoj Patil

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 2604-2610

Abstract: Background – Normally, women who had undergone normal delivery will
remain in the hospital for at least two days and who had undergone cesarean section for
five to six days. An accurate and exact care is very important for the mother who is
recovering from the ailments of pregnancy and delivery and also for the health of the
newborn. Anything can be happen in the postnatal period. in order to avoid any unwanted
occurrence or complications, essential care for mother and baby is a must. Objectives: 1)
To assess the perception of postnatal mothers regarding received Nursing care, 2) To
associate the level of perception with selected demographic variables. Materials and
methods: Survey research approach and descriptive study design was used in the study.
The study was conducted at A.V.B.R Hospital Sawangi Meghe, Wardha. 100 post natal
mothers who had undergone cesarean section were selected for the study. Non-probability
convenience sampling was used for the selection of the samples. Result: Each 50% of the
postnatal mothers were moderately and fully satisfied with the nursing care received and
none of the selected demographic variables were associated with level of perception
regarding nursing care received. Conclusion: Mothers who had undergone cesarean
section in AVBR hospital were satisfied with the nursing care provided.