Postpartum Hemorrhage

"Postpartum Hemorrhage (PPH) is the leading cause of maternal mortality, and more than 30% of maternal deaths are attributed to PPH. The risk of maternal death from PPH in developing countries is approximately 1 per 1000 deliveries. Uterine atony is the most common cause of PPH and accounts for 79% of all PPH . The management of uterine atony is well known and based on international guidelines . First-line treatment includes immediate uterine massage and administration of uterotonic drugs. The second-line treatment of uterine atony includes artery embolization and surgery interventions with artery ligation or hysterectomy. Significant variations in PPH management between countries have been observed based on the availability of resources. Uterine artery embolization is often unavailable in developing countries. Artery ligation via laparotomy and hysterectomy are the most common invasive procedures, but these interventions have high case fatality rates due to limited capacity for surgery, obstetrics, and anesthesia . Thus, it is important to identify second-line procedures that are less invasive and better adapted to the situation in low-resource countries. (Tort J, Hounkpatin B, Popowski T, Traore M, Bodin C, et al. (2013) A Randomized Controlled Trial to Test the Effectiveness of Intrauterine Balloon Tamponade with Condom Catheter in Severe Postpartum Hemorrhage Management: A Feasibility Study in Benin.)"

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Last date updated on December, 2024