Comparative Analysis of Panicker's Vacuum Suction Hemostatic Device Versus the Chhattisgarh Balloon Tamponade in the Management of Postpartum Hemorrhage at a Tertiary Health Facility in Uttar Pradesh, India.

INTRODUCTION: Etiologies of postpartum hemorrhage vary widely and most commonly include uterine atony and placental site bleeding. The Chhattisgarh balloon tamponade applies positive pressure to the intrauterine myometrial wall and compresses the placental bed within the endometrial lining to stop postpartum hemorrhage. In contrast, Panicker's vacuum suction hemostatic device is used to perform vacuum retraction of the uterus. This study compared the effectiveness of Panicker's vacuum suction hemostatic device and the Chhattisgarh balloon tamponade in controlling postpartum hemorrhage.

METHODS: Patients older than 19 years of age with atonic postpartum hemorrhage were included in the study. Patients with other causes of postpartum hemorrhage, such as coagulopathy, traumatic postpartum hemorrhage, retained products of conception, uterine rupture, and perforation, were excluded. Patients were randomly divided into two groups (A and B), with 70 participants per group. In Groups A and B, Panicker's vacuum suction hemostatic device and the Chhattisgarh balloon tamponade were used, respectively. The outcome in both groups was measured based on different parameters.

RESULTS: Statistically significant differences were found between Groups A and B regarding the time taken to control uterine bleeding, time taken to restore uterine tone, amount of blood loss, pain score, and length of hospital stay.

CONCLUSION: Vacuum retraction of the uterus using Panicker's vacuum suction hemostatic device was found to be more effective in the management of postpartum hemorrhage than the Chhattisgarh balloon tamponade.