Time for global scale-up, not randomized trials, of uterine balloon tamponade for postpartum hemorrhage.

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Burke, TF; Thapa, K; Shivkumar, P; Tarimo, V; Oguttu, M; Garg, L; Pande, S; Fidvi, J; Bangal, V; Ochoa, J; et al. Burke, TF; Thapa, K; Shivkumar, P; Tarimo, V; Oguttu, M; Garg, L; Pande, S; Fidvi, J; Bangal, V; Ochoa, J; Amatya, A; Eckardt, M; Horo, A; Rogo, K; Kedar, K; Manasyan, A; Khalatkar, P; Ku, S; Seim, A; Suarez, S; Guha, M; Abdalla, K; Fuchtner, C; Escobar, MF; Arulkumaran, S (2018) Time for global scale-up, not randomized trials, of uterine balloon tamponade for postpartum hemorrhage. Int J Gynaecol Obstet, 142 (1). pp. 115-118. ISSN 1879-3479 https://doi.org/10.1002/ijgo.12492
SGUL Authors: Arulkumaran, Sabaratnam

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Abstract

Maternal death is the greatest health disparity globally, with postpartum hemorrhage the most common cause. As senior leaders in obstetrics and maternal health from Bolivia, Canada, Colombia, Côte d'Ivoire, Honduras, India, Kenya, Nepal, Niger, Norway, Peru, Tanzania, the UK, the USA, and Zambia, we are deeply disturbed by recent calls for randomized controlled trials (RCTs) of uterine balloon tamponade (UBT) in women with uncontrolled postpartum hemorrhage (PPH). Our collective experience, in combination with mounting evidence, unequivocally supports the effectiveness of commercial and condom UBTs in averting death and disability from PPH associated with atonic uterus. We believe it would be highly unethical to embark on an RCT of UBT, now or in the future, unless compared with a proven equivalent intervention. This article is protected by copyright. All rights reserved.

Item Type:

Article

Additional Information:

This is the peer reviewed version of the following article: Burke, T. F., Thapa, K. , Shivkumar, P. , Tarimo, V. , Oguttu, M. , Garg, L. , Pande, S. , Fidvi, J. , Bangal, V. , Ochoa, J. , Amatya, A. , Eckardt, M. , Horo, A. , Rogo, K. , Kedar, K. , Manasyan, A. , Khalatkar, P. , Ku, S. , Seim, A. , Suarez, S. , Guha, M. , Abdalla, K. , Fuchtner, C. , Escobar, M. F. and Arulkumaran, S. (2018), Time for global scale‐up, not randomized trials, of uterine balloon tamponade for postpartum hemorrhage. Int J Gynecol Obstet, 142: 115-118, which has been published in final form at https://doi.org/10.1002/ijgo.12492. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.

Keywords:

Clinical equipoise, Global scale-up, Low-resource settings, Maternal mortality, Postpartum hemorrhage, Randomized controlled trial, Uterine balloon tamponade

SGUL Research Institute / Research Centre:

Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)

Journal or Publication Title:

Int J Gynaecol Obstet

ISSN:

1879-3479

Language:

eng

Dates: