A postpartum haemorrhage package with condom uterine balloon tamponade: a prospective multi‐centre case series in Kenya, Sierra Leone, Senegal, and Nepal

@article{Burke2016APH,
  title={A postpartum haemorrhage package with condom uterine balloon tamponade: a prospective multi‐centre case series in Kenya, Sierra Leone, Senegal, and Nepal},
  author={Tf Burke and Roy Ahn and BD Nelson and Rosemary Hines and Jennifer Kamara and Monica Oguttu and L Dulo and E Achieng and B. Achieng and Abirami Natarajan and Judith Maua and Sas Kargbo and Zaid Altawil and Kristina Tester and Emily de Redon and M. Niang and Khadija Abdalla and M Eckardt},
  journal={BJOG: An International Journal of Obstetrics \& Gynaecology},
  year={2016},
  volume={123},
  pages={1532 - 1540}
}
  • Tf Burke, R. Ahn, +15 authors M. Eckardt
  • Published 1 August 2016
  • Medicine
  • BJOG: An International Journal of Obstetrics & Gynaecology
OBJECTIVE To evaluate the effectiveness and safety of an ultra-low-cost uterine balloon tamponade package (ESM-UBT™) for facility-based management of uncontrolled postpartum haemorrhage (PPH) in Kenya, Sierra Leone, Senegal, and Nepal. [...] Key MethodDESIGN Prospective multi-centre case series. SETTING Facilities in resource-scarce areas of Kenya, Sierra Leone, Nepal, and Senegal. POPULATION Women with uncontrolled postpartum haemorrhage in 307 facilities across the four countries. Expand
The effectiveness and safety of introducing condom-catheter uterine balloon tamponade for postpartum haemorrhage at secondary level hospitals in Uganda, Egypt and Senegal: a stepped wedge, cluster-randomised trial
TLDR
To assess the effectiveness of introducing condom‐catheter uterine balloon tamponade (UBT) for postpartum haemorrhage (PPH) management in low‐ and middle‐income settings, a large number of patients in low- and middle-income settings are surveyed. Expand
Cost‐effectiveness of condom uterine balloon tamponade to control severe postpartum hemorrhage in Kenya
  • Mercy Mvundura, D. Kokonya, +6 authors T. Burke
  • Medicine
  • International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2017
TLDR
To evaluate the cost‐effectiveness of condom uterine balloon tamponade (UBT) for control of severe postpartum hemorrhage (PPH) due to uterine atony versus standard PPH care in Kenya, a cost-effectiveness study is conducted. Expand
Provider experience of uterine balloon tamponade for the management of postpartum hemorrhage in Sierra Leone
  • A. Natarajan, J. Kamara, +5 authors T. Burke
  • Medicine
  • International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2016
To understand healthcare providers' experience of incorporating uterine balloon tamponade (UBT) into the national postpartum hemorrhage (PPH) clinical pathway after UBT training.
Shock progression and survival after use of a condom uterine balloon tamponade package in women with uncontrolled postpartum hemorrhage
To examine the outcomes of women in advanced shock from uncontrolled postpartum hemorrhage (PPH) who underwent placement of an Every Second Matters for Mothers and Babies Uterine Balloon TamponadeExpand
Cost‐effectiveness of uterine tamponade devices for the treatment of postpartum hemorrhage: A systematic review
Uterine tamponade is widely promoted for treating refractory postpartum hemorrhage (PPH); however, its cost‐effectiveness may vary depending on unit costs and setting.
Provider experiences with improvised uterine balloon tamponade for the management of uncontrolled postpartum hemorrhage in Kenya
TLDR
To understand healthcare providers’ experiences with improvised uterine balloon tamponade (UBT) for the management of uncontrolled postpartum hemorrhage (PPH), a large number of them used UBT during pregnancy and the first trimester of pregnancy. Expand
Innovative Uses of Condom Uterine Balloon Tamponade for Postpartum Hemorrhage in India and Tanzania
TLDR
The ESM-UBT device may be useful for control of obstetric hemorrhage caused by complex vaginal tears as well as cervical and molar pregnancies and in innovative ways to arrest severe uncontrolled pregnancy-related hemorrhage among three women in India and Tanzania. Expand
The Barriers to the Integration of the Uterine Balloon Tamponade into South Africa and Ghana's Health Systems for the Management of Postpartum Hemorrhage
The Barriers to the Integration of the Uterine Balloon Tamponade into South Africa and Ghana’s Health Systems for the Management of Postpartum Hemorrhage
Safety of a condom uterine balloon tamponade (ESM-UBT) device for uncontrolled primary postpartum hemorrhage among facilities in Kenya and Sierra Leone
TLDR
The ESM-UBT device appears safe for use in women with uncontrolled postpartum hemorrhage in Kenya and Sierra Leone and three expert maternal health investigator physicians found a potential association between these injuries and an E SM-UBt device highly unlikely. Expand
Time for global scale‐up, not randomized trials, of uterine balloon tamponade for postpartum hemorrhage
  • T. Burke, K. Thapa, +22 authors S. Arulkumaran
  • Medicine
  • International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2018
TLDR
Senior leaders in obstetrics and maternal health from Bolivia, Canada, Colombia, Côte d'Ivoire, Honduras, India, Kenya, Nepal, Niger, Norway, Peru, Tanzania, the UK, the USA, and Zambia believe it would be highly unethical to embark on an RCT of UBT, now or in the future, unless compared with a proven equivalent intervention. Expand
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References

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TLDR
Uterine balloon tamponade has been shown to be an effective technique to treat PPH in developed countries, but has not been examined in resource‐poor settings. Expand
Use of uterine balloon tamponade for control of postpartum hemorrhage by community‐based health providers in South Sudan
To determine whether use of uterine balloon tamponade (UBT) for management of uncontrolled postpartum hemorrhage (PPH) by community‐based providers in a resource‐limited setting could be feasible,Expand
Use of an intrauterine inflated catheter balloon in massive post‐partum hemorrhage: A series of 52 cases
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A large case series is reported to evaluate the efficacy of uterine balloon tamponade to treat PPH avoiding hysterectomy and finds it to be safe and effective. Expand
Condom hydrostatic tamponade for massive postpartum hemorrhage
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TLDR
After medical treatment has failed and before major surgical intervention and hysterectomy are envisaged uterine tamponade is a reasonable option for the management of postpartum hemorrhage (PPH), this study reported on the use of the Sengstaken—Blakemore tube and the Rush urologic hydrostatic balloon catheter for controlling PPH. Expand
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To determine if the use of a Bakri balloon at cesarean delivery (CD) for placenta previa is associated with a reduced need for additional surgical or pharmacologic measures and less blood loss thanExpand
WHO guidelines for the management of postpartum haemorrhage and retained placenta
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Initial experience with a dual-balloon catheter for the management of postpartum hemorrhage.
TLDR
It is concluded that uterine/vaginal balloon tamponade is very useful in the management of postpartum hemorrhage because of uterine atony and abnormal placentation. Expand
A method to improve the effectiveness of the Bakri balloon for management of postpartum hemorrhage at cesarean
TLDR
It is necessary to select patients suitable for pregnancy for acute kidney failure evaluation on the basis of prior history, prior use of RIFLE, and prior knowledge of the patient’s medical history. Expand
Systematic Review of Conservative Management of Postpartum Hemorrhage: What to Do When Medical Treatment Fails
TLDR
A systematic review of studies evaluating the success rates of treatment of major postpartum hemorrhage by uterine balloon tamponade, uterine compression sutures, pelvic devascularization, and arterial embolization found no evidence to suggest that any one method is better for the management of severe postpartUM hemorrhage. Expand
WHO analysis of causes of maternal death: a systematic review
TLDR
Haemorrhage and hypertensive disorders are major contributors to maternal deaths in developing countries and these data should inform evidence-based reproductive health-care policies and programmes at regional and national levels. Expand
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