Uterine balloon tamponade as an adjunct to misoprostol for the treatment of uncontrolled postpartum haemorrhage: a randomised controlled trial in Benin and Mali.

ABSTRACT:

Objective

To assess the effectiveness of low-cost uterine tamponade as an adjunct to misoprostol for the treatment of uncontrolled postpartum haemorrhage (PPH) in low-resource settings.

Design

Randomised controlled trial.

Setting

Seven healthcare facilities in Cotonou, Benin and Bamako, Mali.

Population

Women delivering vaginally who had clinically diagnosed PPH that was suspected to be due to uterine atony, who were unresponsive to oxytocin and who needed additional uterotonics.

Methods

Women were randomly assigned to receive uterine balloon tamponade with a condom-catheter device or no tamponade; both groups were also given intrarectal or sublingual misoprostol.

Main outcome measure

Proportion of women with invasive surgery or who died before ho

SUBMITTER: Dumont A 

PROVIDER: S-EPMC5589006 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature