Document Detail


Uterine balloon tamponade for the treatment of postpartum haemorrhage in resource-poor settings: a systematic review.
MedLine Citation:
PMID:  22882240     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Please cite this paper as: Tindell K, Garfinkel R, Abu-Haydar E, Ahn R, Burke T, Conn K, Eckardt M. Uterine balloon tamponade for the treatment of postpartum haemorrhage in resource-poor settings: a systematic review. BJOG 2012; DOI: 10.1111/j.1471-0528.2012.03454.x. Background  Effective interventions addressing postpartum haemorrhage (PPH) are critically needed to reduce maternal mortality worldwide. Uterine balloon tamponade (UBT) has been shown to be an effective technique to treat PPH in developed countries, but has not been examined in resource-poor settings. Objectives  This literature review examines the effectiveness of UBT for the treatment and management of PPH in resource-poor settings. Search strategy  Publications were sought through searches of five electronic databases: Medline, Cochrane Reference Libraries, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Embase and Popline. Selection criteria  Titles and abstracts were screened for eligibility by two independent reviewers. Each reviewer evaluated the full text of potentially eligible articles by defined inclusion criteria, including the presentation of empirical data and use of UBT in resource-poor settings to treat PPH. Data collection and analysis  Full text of all eligible publications was collected and systematically coded. Main results  The search identified 13 studies that met the inclusion criteria: six case reports or case series, five prospective studies and two retrospective studies for a total of 241 women. No randomised controlled trials were identified. The studies used various types of UBT, including condom catheter (n = 193), Foley catheter (n = 5) and Sengstaken-Blakemore oesophageal tube (n = 1). In these studies, primarily conducted in tertiary-care settings rather than lower-level health facilities, UBT successfully treated PPH in 234 out of 241 women. Conclusions  UBT is an effective treatment for PPH in resource-poor settings. Further study of UBT interventions is necessary to better understand the barriers to successful implementation and use in these settings.
Authors:
K Tindell; R Garfinkel; E Abu-Haydar; R Ahn; Tf Burke; K Conn; M Eckardt
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-13
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  -     ISSN:  1471-0528     ISO Abbreviation:  BJOG     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG.
Affiliation:
Division of Global Health and Human Rights, Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA PATH, Seattle, WA, USA Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Division of Pediatrics, Children's Hospital Boston, Boston, MA, USA Boston University School of Medicine, Boston, MA, USA.
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