Weeks, Andrew 
ORCID: 0000-0002-1909-337X, Cunningham, Caroline, Taylor, Wendy, Rosala-Hallas, Anna ORCID: 0000-0001-8012-9995, Watt, Peter, Bryning, Lucy, Ezeofor, Victory, Cregan, Liz, Hayden, Emma, Lambert, Dot et al (show 5 more authors)
(2021)
A phase 2 clinical trial of the PPH Butterfly, a new device to ‘turn off the tap’ of Post-Partum Hemorrhage.
Abstract
<h4>Objective: </h4> To assess the acceptability, safety and efficacy of the PPH Butterfly, a new uterine compression device, in women with postpartum haemorrhage (PPH). <h4>Design:</h4> A phase two clinical device trial using matched historical controls, with accompanying grounded theory study. <h4>Setting:</h4> UK university consultant obstetric unit. Population: women with PPH after vaginal birth unresponsive to initial oxytocin therapy. Outcomes were compared to historical controls matched on blood loss, parity and type of birth. <h4>Methods:</h4> after oral consent, trained staff used the device in additional to normal care. Main Outcome Measures: The primary outcome was additional blood loss >1000mls. Qualitative interviews assessed device feasibility and acceptability. <h4>Results:</h4> Of the 57 recruits, two-thirds were primiparous and almost half had undergone operative birth. Two percent of recruited women had additional blood loss of over 1000mls compared to 8% of 113 controls (adjusted odds ratio 0.13, 95% CI (0.02 to 1.09)). Women treated with the device received significantly more additional treatments and had higher rates of exclusive breast-feeding at discharge. There were no serious adverse events related to the device. In 47 interviews, participants, birth partners, clinicians and attending midwives viewed the device positively. Clinicians found it useful to stop blood loss and diagnose the source of bleeding. <h4>Conclusions:</h4> the PPH Butterfly is acceptable and may have clinical benefits: it is a promising device for PPH management. Funding: National Institute for Health Research invention for innovation (i4i) program (II-LA-0715-200008) Keywords: postpartum haemorrhage, childbirth, oxytocin, third stage of labour, uterine compression. Registration: prospective ISRCTN (15452399); www.isrctn.com/ISRCTN15452399
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | 32 Biomedical and Clinical Sciences, 4204 Midwifery, 4206 Public Health, 42 Health Sciences, 3215 Reproductive Medicine, Clinical Research, Maternal Morbidity and Mortality, Contraception/Reproduction, Clinical Trials and Supportive Activities, Maternal Health, Women's Health, 6.3 Medical devices, Reproductive health and childbirth, 3 Good Health and Well Being |
| Divisions: | Faculty of Health & Life Sciences Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 25 May 2021 07:51 |
| Last Modified: | 15 Jan 2026 19:18 |
| DOI: | 10.22541/au.162015824.47500455/v1 |
| Open Access URL: | https://www.authorea.com/doi/full/10.22541/au.1620... |
| Related Websites: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3123874 |
| Disclaimer: | The University of Liverpool is not responsible for content contained on other websites from links within repository metadata. Please contact us if you notice anything that appears incorrect or inappropriate. |
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