THE EFFECTIVENESS OF BALLOON TAMPONADE IN THE PREVENTION AND TREATMENT OF POSTPARTUM HEMORRHAGE

Postpartum hemorrhage (PPH) is one of the leading causes of maternal morbidity and mortality, ranking third after throm-boembolism and hypertensive disorders. The primary goal of this study was to determine the effectiveness of balloon tamponade in the prevention and treatment of postpartum hemorrhage. The principle of balloon tamponade is to apply direct pressure to the bleeding vessels of the placental area using the wall of an inflated balloon within the uterus. The basic study included both retrospective and prospective research. The retrospective study group (no balloon tamponade performed) consisted of 72 patients, of whom 34 delivered vaginally and 38 underwent cesarean section. The prospective study group (balloon tamponade performed) included 40 women (20 with vaginal deliveries and 20 with operative deliveries). The effectiveness of the treatment was assessed based on two criteria: the volume of blood loss and the number of hysterectomies performed. In our study, the effectiveness of balloon tamponade was found to be 95%, based on the complete cessation of bleeding and the reduction in the length of hospital stay. This research is relevant and presents scientific and practical interest in terms of applying and implementing the modern and innovative balloon tamponade for managing PPH as a safe, effective, accessible, and controllable technique.