Purwosunu, Y; Sarkoen, W; Arulkumaran, S; Segnitz, J
(2016)
Control of Postpartum Hemorrhage Using Vacuum-Induced Uterine Tamponade.
Obstetrics & Gynecology, 128 (1).
pp. 33-36.
ISSN 0029-7844
https://doi.org/10.1097/AOG.0000000000001473
SGUL Authors: Arulkumaran, Sabaratnam
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Abstract
BACKGROUND: Postpartum hemorrhage is the leading cause of maternal mortality worldwide. Vacuum-induced uterine tamponade is a possible alternative approach to balloon tamponade systems for the treatment of postpartum hemorrhage resulting from atony. METHOD: In a prospective proof-of-concept investigation of 10 women with vaginal deliveries in a hospital setting who failed first-line therapies for postpartum hemorrhage, tamponade was used. Vacuum-induced uterine tamponade was created through a device inserted transvaginally into the uterine cavity. An occlusion balloon built into the device shaft was inflated at the level of the external cervical os to create a uterine seal. Negative pressure was created by attaching a self-contained, mobile, electrically powered, pressure-regulated vacuum pump with a sterile graduated canister. EXPERIENCE: In all 10 cases, the suction created an immediate seal at the cervical os, 50-250 mL of residual blood was evacuated from the uterine cavity, the uterus collapsed and regained tone within minutes, and hemorrhaging was controlled. The device remained in place for a minimum of 1 hour and up to 6.5 hours in one case while vaginal and perineal lacerations were easily repaired. CONCLUSION: This preliminary investigation suggests that a device designed to create vacuum-induced uterine tamponade may be a reasonable alternative to other devices used to treat atonic postpartum hemorrhage.
Item Type: | Article | ||||||
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Additional Information: | © by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. This is a non-final version of an article published in final form in: Purwosunu, Yuditiya MD; Sarkoen, Widyastuti MD; Arulkumaran, Sabaratnam MD, PhD; Segnitz, Jan MD, Control of Postpartum Hemorrhage Using Vacuum-Induced Uterine Tamponade. Obstetrics & Gynecology. 128(1):33-36, July 2016.10.1097/AOG.0000000000001473 | ||||||
Keywords: | Obstetrics & Reproductive Medicine, 1114 Paediatrics And Reproductive Medicine | ||||||
SGUL Research Institute / Research Centre: | Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) > Vascular (INCCVA) |
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Journal or Publication Title: | Obstetrics & Gynecology | ||||||
ISSN: | 0029-7844 | ||||||
Language: | eng | ||||||
Dates: |
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Publisher License: | Publisher's own licence | ||||||
PubMed ID: | 27275795 | ||||||
Web of Science ID: | WOS:000379509800006 | ||||||
Go to PubMed abstract | |||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/108178 | ||||||
Publisher's version: | https://doi.org/10.1097/AOG.0000000000001473 |
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