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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Use of uterine balloon tamponade for control of postpartum hemorrhage by community-based health providers in South Sudan
International Journal of Gynecology and Obstetrics, Volume 122, No. 1, Year 2013
Notification
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Description
Objective To determine whether use of uterine balloon tamponade (UBT) for management of uncontrolled postpartum hemorrhage (PPH) by community-based providers in a resource-limited setting could be feasible, effective, and safe. Methods In rural South Sudan, community providers were trained and equipped with a simple UBT device consisting of a catheter, condom, and syringe. Snowball sampling identified cases of UBT use since training. Semi-structured interviews were conducted among community providers, referral facility providers, patients, and patient family members. Interview transcripts were analyzed using qualitative methods. Results Thirteen cases were identified and 24 interviews related to community-based UBT use were conducted. Qualitative analysis revealed several major themes. Community providers applied UBT in appropriate clinical situations. UBT was effective for controlling PPH, even among severely ill patients. Referral was difficult and lengthy owing to the austere setting, but simple UBT appeared to mitigate these challenges. Communities had some initial fears, yet ultimately embraced UBT. Equipment and supplies were largely maintained. There was universal satisfaction with UBT among patients, family members, and providers. One death occurred among the 13 cases, although it was probably not attributable to PPH. Conclusion Training and UBT device provision are simple, affordable, and effective for managing uncontrolled PPH in a resource-limited setting. © 2013 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Nelson, Brett D.
United States, Boston
Massachusetts General Hospital
United States, Boston
Harvard Medical School
Stoklosa, Hanni Marie
United States, Boston
Massachusetts General Hospital
United States, Boston
Harvard Medical School
Ahn, Roy
United States, Boston
Massachusetts General Hospital
United States, Boston
Harvard Medical School
Eckardt, Melody Joy
United States, Boston
Massachusetts General Hospital
United States, Boston
Boston Medical Center
Walton, Emily K.
United States, Boston
Massachusetts General Hospital
Sudan
Maternal
Burke, Thomas F.
United States, Boston
Massachusetts General Hospital
United States, Boston
Harvard Medical School
United States, Boston
Boston Children's Hospital
Kenya
African Institute of Innovation and Technology
Statistics
Citations: 28
Authors: 6
Affiliations: 6
Identifiers
Doi:
10.1016/j.ijgo.2013.02.017
ISSN:
00207292
e-ISSN:
18793479
Research Areas
Health System And Policy
Maternal And Child Health
Study Approach
Qualitative
Study Locations
South Sudan
Sudan