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  • Life-saving with a vaginal condom catheter in postpartum haemorrhage due to vaginal lacerations in a low-resource setting

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Case report
Life-saving with a vaginal condom catheter in postpartum haemorrhage due to vaginal lacerations in a low-resource setting
  1. Indunil Piyadigama1,
  2. Chinthaka Banagala2,
  3. Lakshman Kariyawasam1 and
  4. Madura Jayawardane3
  1. 1Obstetrics and Gynaecology, Castle Street Hospital for Women, Colombo 8, Sri Lanka
  2. 2Obstetrics and Gynaecology, Base Hospital Welimada, Welimada, Sri Lanka
  3. 3Obstetrics and Gynaecology, University of Sri Jayewardenepura Faculty of Medical Sciences, Nugegoda, Sri Lanka
  1. Correspondence to Dr Madura Jayawardane; madura{at}sjp.ac.lk

Abstract

Postpartum haemorrhage (PPH) due to multiple vaginal lacerations is difficult to manage and tamponade is used as a life-saving measure. Condom catheter with stay sutures at the vaginal introitus for this purpose has not been reported. We describe successfully managing PPH due to multiple vaginal lacerations following a forceps delivery using a condom tied to an 18 FG Foley catheter. The device was introduced to the vagina, inflated with 700 mL of normal saline and was held in situ by sealing the vaginal introitus with interrupted nylon stitches running between the labia minora. Condom catheter is cheap and freely available in low-resource settings. The preparation and application can be done by a less experienced operator.

  • pregnancy
  • obstetrics and gynaecology

https://doi.org/10.1136/bcr-2021-245199

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    Footnotes

    • Contributors IP, CB and LK were involved in treating the patient and came up with the idea of vaginal tamponade with condom catheter. IP and MJ were involved in literature survey and writing up the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.