Aims and background:This study aimed to evaluate the efficacy of the Santharam (SR) cannula in managing atonic postpartum hemorrhage (PPH) and to compare its clinical outcomes, including time to hemostasis, transfusion needs, with those of conventional balloon tamponade.Materials and methods: A prospective interventional study was conducted from October 2023 to September 2024 in Swaroop Rani Hospital, Prayagraj.A total of 720 women who were either at high risk for PPH or developed PPH during delivery were included and randomized into two groups.Santharam cannula was applied in group A, and balloon tamponade was used in group B. Data was entered in MS Excel 2007, Microsoft Corporation Publication.Data from both groups were compiled into cross-tabulations.Data is calculated in percentages.Effectiveness of both groups was compared in terms of time taken to stop bleeding, need for blood transfusion, and failure to control bleeding using the Chi-square test and p-value for testing the significance.Results: Postpartum hemorrhage was controlled faster within 3 minutes with the SR cannula (53.5%).Balloon tamponade took up to 5 minutes to control bleeding (40.5%) longer time as compared to the SR cannula.Conclusion: Balloon tamponade and SR cannula are both effective in controlling atonic PPH, but SR cannula gives results in a shorter time than balloon tamponade.Clinical significance: Santharam cannula provides a timely, cost-effective intervention that promotes physiological uterine contraction for effective management of atonic PPH, particularly in resource-limited settings.
Saxena et al. (Wed,) studied this question.