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, 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.

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.

Cost‐effectiveness of condom uterine balloon tamponade to control severe postpartum hemorrhage in Kenya

  • Mercy MvunduraD. Kokonya 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.

Provider experience of uterine balloon tamponade for the management of postpartum hemorrhage in Sierra Leone

  • A. NatarajanJ. Kamara T. Burke
  • Medicine
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2016

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 Tamponade

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

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.

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.

Time for global scale‐up, not randomized trials, of uterine balloon tamponade for postpartum hemorrhage

  • T. BurkeK. Thapa 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.

References

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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.