World Health Organization Recommendation for Using Uterine Balloon Tamponade to Treat Postpartum Hemorrhage.



Weeks, Andrew D ORCID: 0000-0002-1909-337X, Akinola, Oluwarotimi Ireti, Amorim, Melania ORCID: 0000-0003-1047-2514, Carvalho, Brendan ORCID: 0000-0002-4919-4542, Deneux-Tharaux, Catherine, Liabsuetrakul, Tippawan, Meremikwu, Martin, Miller, Suellen, Nabhan, Ashraf, Nagai, Mari
et al (show 2 more authors) (2022) World Health Organization Recommendation for Using Uterine Balloon Tamponade to Treat Postpartum Hemorrhage. Obstetrics and gynecology, 139 (3). 458 - 462.

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Abstract

The World Health Organization (WHO) recently published a new recommendation on the use of the uterine balloon tamponade for the treatment of postpartum hemorrhage. The recommendation that uterine balloon tamponade should be used only where there is already access to other postpartum hemorrhage treatments (including immediate recourse to surgery) has proved controversial. It is especially problematic for those working in low-level health care facilities in under-resourced settings, where there are already programs that have introduced low-cost uterine balloon tamponade devices for use, even in settings where recourse to surgical interventions is not possible. However, there are now two separate randomized trials that both unexpectedly show unfavorable outcomes in these settings when a condom catheter uterine balloon tamponade device was introduced. Considering the balance of potential benefits and these safety concerns, the WHO postpartum hemorrhage guideline panel therefore recommends that uterine balloon tamponade should be used only in contexts where other supportive postpartum hemorrhage interventions are available if needed.

Item Type: Article
Uncontrolled Keywords: Humans, Postpartum Hemorrhage, Pregnancy, Developing Countries, World Health Organization, Female, Practice Guidelines as Topic, Uterine Balloon Tamponade, Patient Safety
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User: Symplectic Admin
Date Deposited: 28 Feb 2022 11:11
Last Modified: 11 Sep 2022 21:10
DOI: 10.1097/aog.0000000000004674
Open Access URL: https://journals.lww.com/greenjournal/Fulltext/202...
URI: https://livrepository.liverpool.ac.uk/id/eprint/3149838