Use of second‐line therapies for management of massive primary postpartum hemorrhage

Abstract

Increasing use of second-line therapies among women with massive PPH was associated with a decreasing trend for rescue hysterectomy. Obstetricians should, therefore, consider all available interventions to stop PPH, including early use of second-line options.

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

“…Although referral to higher‐level facilities is recommended following UBT use, most providers from lower‐level facilities stated that the device arrested the uncontrolled bleeding and was thus an endpoint therapy, decreasing the need for referral. In higher‐level facilities, the use of UBT could represent a less invasive and more rapid approach to bleeding cessation, consequently averting emergency hysterectomies and other operative interventions [14].…”

Prognostic factors for the use of intrauterine balloon tamponade in the management of severe postpartum hemorrhage

“…shown an associated reduction in use of the more invasive procedures, including uterine artery embolization, compression sutures, 14,15 and peripartum hysterectomy. 16 Despite the increasing utilization of IUBT, protocols for appropriate use of intrauterine balloon devices remain empirical.…”

Experience of combined use of a Bakri uterine balloon and a non‐pneumatic anti‐shock garment in a university hospital in Colombia

“…Evidence of the effectiveness of these balloons in the management of PPH has been growing for 35 years. Although interpreting the studies that evaluate its effectiveness is complex due to their diverse nature, the available evidence demonstrates 80%–98% effectiveness of the Bakri balloon for the reduction and control of obstetric hemorrhage . Similar to NASG, the skills required for implementation of the Bakri balloon can be easily learned and no surgical skills are needed.…”