Assessment of the Use of Sengstaken-Blakemore Esophageal Catheter in the Management of Non Traumatic Postpartum Haemorrhage

Objective: Assessment of the use of Sengstaken-Blakemore esophageal catheter in the management of non traumatic postpartum haemorrhage. Methods: The study include 26 women admitted to our hospital with intractable postpartum haemorrhage not responding to medical treatment and were considered critical by the obstetrician atonic (n=20) coagulopathy (n=6) and underwent treatment by insertion of intrauterine tamponade with sengstaken-blakemore tube. Results: Regarding age, parity, gestational age, BMI, time of insertion and time of removal there was no statistical significant difference between both groups (p 0.05). Regarding cause of postpartum haemorrhage nearly 76.9% of cases were caused by atony and 23.1% of cases were caused by coagulopathy. Regarding success rate there is only 4 failed cases 2 of them were treated by bilateral internal iliac artery ligation, 1 treated by bilateral uterine artery ligation and 1 treated by hystrectomy. Conclusion: Postpartum hemorrhage remains one of the top five causes of maternal mortality worldwide in both the developed and developing countries. Sengstaken-Blakemore catheter was used in controlling of postpartum hemorrhage, it is effective Tamponade and simple to use. Its use effectively controls bleeding in 84.6% of cases when medical treatment has failed.