Abstract
Postpartum hemorrhage is the leading cause of maternal mortality in low- and middle-income countries. While evidence on uterine balloon tamponade efficacy for severe hemorrhage is encouraging, little is known about safety of this intervention. The objective of this study was to evaluate the safety of an ultra-low-cost uterine balloon tamponade package (named ESM-UBT) for facility-based management of uncontrolled postpartum hemorrhage (PPH) in Kenya and Sierra Leone. Data were collected on complications/adverse events in all women who had an ESM-UBT device placed among 92 facilities in Sierra Leone and Kenya, between September 2012 and December 2015, as part of a multi-country study. Three expert maternal health investigator physicians analyzed each complication/adverse event and developed consensus on whether there was a potential causal relationship associated with use of the ESM-UBT device. Adverse events/complications specifically investigated included death, hysterectomy, uterine rupture, perineal or cervical injury, serious or minor infection, and latex allergy/anaphylaxis. Of the 201 women treated with an ESM-UBT device in Kenya and Sierra Leone, 189 (94.0%) survived. Six-week or longer follow-up was recorded in 156 of th...Continue Reading
References
Sep 1, 1990·Clinical Obstetrics and Gynecology·C M Zahn, E R Yeomans
Jan 9, 2004·British Medical Bulletin·Carla AbouZahr
Apr 4, 2006·Lancet·Khalid S KhanPaul Fa Van Look
May 1, 2007·American Journal of Obstetrics and Gynecology·Reshma ParikhJames N Anasti
Aug 16, 2008·Acta Obstetricia Et Gynecologica Scandinavica·Stergios K DoumouchtsisSabaratnam Arulkumaran
Apr 27, 2010·American Journal of Obstetrics and Gynecology·Erin A S ClarkUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network
May 1, 2012·The Journal of Obstetrics and Gynaecology Research·Asmita Muthal RathoreMumtaz Khan
Aug 24, 2012·Obstetrics and Gynecology·John R Barton, Baha M Sibai
Apr 30, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Brett D NelsonThomas F Burke
Jun 4, 2014·The Journal of Obstetrics and Gynaecology Research·Sergio FerrazzaniSara De Carolis
Jan 22, 2015·Acta Obstetricia Et Gynecologica Scandinavica·Emmanuelle MartinLoïc Sentilhes
Aug 1, 2015·BJOG : an International Journal of Obstetrics and Gynaecology·T F BurkeM J Eckardt
Aug 1, 2015·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Emmanuelle VintejouxVincent Letouzey
Aug 19, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Abirami NatarajanThomas F Burke
Jan 23, 2016·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Anna Alaska PendletonThomas F Burke
Citations
May 1, 2019·Military Medicine·Abigail M Ramseyer, Monica A Lutgendorf
Feb 12, 2020·BJOG : an International Journal of Obstetrics and Gynaecology·G J Hofmeyr, M Singata-Madliki
Jul 3, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Nancy L KerrSolomon Kalit
Mar 4, 2021·BMJ Open·Siddesh Sitaram ShettyBeena Nitin Joshi