"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.)"
Last date updated on July, 2014