Provider experiences with uterine balloon tamponade for uncontrolled postpartum hemorrhage in health facilities in Kenya

Natarajan, Abirami; Chavez, Jose A.; Ahn, Roy; Nelson, Brett D.; Eckardt, Melody J.; Dulo, L.; Achieng, Emmaculate; Oguttu, Monica; Tester, Kristina; Burke, Thomas F.

doi:10.1016/j.ijgo.2015.05.020

Cited by 8 publications

(8 citation statements)

References 8 publications

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“…Most (87%) interviewed providers who inserted UBT devices were lower‐level providers who were able to perform UBT with minimal training. Other qualitative studies in Kenya and South Sudan have demonstrated similar findings among lower level providers [13,15].…”

Section: Discussionsupporting

confidence: 60%

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

Natarajan

Kamara

Ahn

et al. 2016

International Journal of Gynecology & Obstetrics

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Section: Discussionsupporting

confidence: 60%

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

Natarajan

Kamara

Ahn

et al. 2016

International Journal of Gynecology & Obstetrics

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“…We screened 89 unique records after duplicate removal and excluded 68 following title and abstract screening. 21 full-text articles were assessed for eligibility and five studies were included in the qualitative synthesis [20][21][22][23][24]. A PRISMA flow chart illustrating the selection process is shown in Fig 1. The five studies all took place in low or lower-middle income countries in Africa-2 in Kenya; 1 each in Sierra Leone and South Sudan and 1 across two countries (Kenya and Senegal).…”

Section: Included Studiesmentioning

confidence: 99%

“…All of the studies were conducted by the same or similar review team reporting on provider experiences of UBT devices. Three of the studies [20,21,24] were undertaken following a comprehensive PPH training package called, 'Every Second Matters for Mothers and Babies-Uterine Balloon Tamponade' (ESM-UBT), in which facility based healthcare staff attended a 3 hour workshop where they were taught how to use to use a UBT within the context of the established national protocols for PPH management. The UBT used in the training programme was a relatively basic device consisting of a syringe, a valve and a condom fastened to the end of a Foley catheter with cotton string.…”

Section: Included Studiesmentioning

confidence: 99%

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Healthcare providers experiences of using uterine balloon tamponade (UBT) devices for the treatment of post-partum haemorrhage: A meta-synthesis of qualitative studies

et al. 2021

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Background Postpartum haemorrhage (PPH) is a leading cause of maternal mortality and severe morbidity globally. When PPH cannot be controlled using standard medical treatments, uterine balloon tamponade (UBT) may be used to arrest bleeding. While UBT is used by healthcare providers in hospital settings internationally, their views and experiences have not been systematically explored. The aim of this review is to identify, appraise and synthesize available evidence about the views and experiences of healthcare providers using UBT to treat PPH. Methods Using a pre-determined search strategy, we searched MEDLINE, CINAHL, PsycINFO, EMBASE, LILACS, AJOL, and reference lists of eligible studies published 1996–2019, reporting qualitative data on the views and experiences of health professionals using UBT to treat PPH. Author findings were extracted and synthesised using techniques derived from thematic synthesis and confidence in the findings was assessed using GRADE-CERQual. Results Out of 89 studies we identified 5 that met our inclusion criteria. The studies were conducted in five low- and middle-income countries (LMICs) in Africa and reported on the use of simple UBT devices for the treatment of PPH. A variety of cadres (including midwives, medical officers and clinical officers) had experience with using UBTs and found them to be effective, convenient, easy to assemble and relatively inexpensive. Providers also suggested regular, hands-on training was necessary to maintain skills and highlighted the importance of community engagement in successful implementation. Conclusions Providers felt that administration of a simple UBT device offered a practical and cost-effective approach to the treatment of uncontrolled PPH, especially in contexts where uterotonics were ineffective or unavailable or where access to surgery was not possible. The findings are limited by the relatively small number of studies contributing to the review and further research in other contexts is required to address wider acceptability and feasibility issues.

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“…Postpartum hemorrhage (PPH) remains the leading cause of maternal death . Qualitative studies in developing countries demonstrate the widespread acceptance and expansion of the use of handmade intrauterine balloons (IUB) for effective treatment of PPH …”

Section: Differences Between a Selection Of Handmade Intrauterine Balmentioning

confidence: 99%

Uterine tamponade in postpartum hemorrhage: A new handmade intrauterine balloon

Alves

Senra

Gonçalves

et al. 2020

Intl J Gynecology & Obste

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It is also critical that the government addresses sociocultural factors such as child marriage and the low status of women that tend to undermine the well-being and health of women. 9 The government should enhance education programs and raise awareness to improve health literacy alongside social cash transfer programs to improve the social and economic status of women. The Ombudsman's report and recommendations show the crucial role of the Ombudsman in ensuring accountability to promote women's right to health. Through her report, Malawi's Ombudsman has demonstrated the capability of her office to monitor violations of women's right to health. This is commendable, and one hopes that the government will respond to the recommendations through effective implementation. To address such a systemic problem, it is vital that the Office of the Ombudsman collaborates with other institutions, such as the Malawi Human Rights Commission. Additionally, development partners including UNFPA and WHO should support women's organizations to ensure that the government implements the recommendations in the Ombudsman's report. Ultimately, as the primary rightsholders, women should be enabled to play a central role in addressing the problem of preventable hysterectomies in Malawi's public health facilities. AUTHOR CONTRIBUTIONSGK led the initial drafting of article, while CS and ED reviewed and provided comments and suggestions that shaped the final version of the paper. CONFLICTS OF INTERESTThe authors have no conflicts of interest. REFERENCES1. Office of the Ombudsman. Woes of the Womb: A report on an investigation into allegations of medical malpractices resulting in removal of uteruses from expectant women in public health facilities. 2019.

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Provider experiences with uterine balloon tamponade for uncontrolled postpartum hemorrhage in health facilities in Kenya

Abstract: UBT has been readily accepted by providers at all levels of training and is being incorporated into the existing PPH management algorithm in Kenya.

Cited by 8 publications

References 8 publications

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

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

Healthcare providers experiences of using uterine balloon tamponade (UBT) devices for the treatment of post-partum haemorrhage: A meta-synthesis of qualitative studies

Uterine tamponade in postpartum hemorrhage: A new handmade intrauterine balloon

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