A narrative review comparing clinical effectiveness of commonly used uterine balloon tamponade devices for postpartum haemorrhage management in India

Authors

  • Siddesh S Shetty Research Associate in Health Economics, Department of Population Health Sciences Faculty of Life Sciences and Medicine, King’s College London http://orcid.org/0000-0003-0696-1622
  • Kusum V Moray Assistant Professor Ashwini Rural Medical College Kumbhari, Solapur Maharashtra http://orcid.org/0000-0002-9333-5672
  • Oshima Sachin Scientist D Health Technology Assessment Secretariat, Department of Health Research, Ministry of Health and Family Welfare, New Delhi, India
  • Himanshu Chaurasia Scientist C Regional Resource Hub for Health Technology Assessment, Indian Council of Medical Research - National Institute for Research in Reproductive and Child Health, Jehangir Merwanji Street, Parel, Mumbai-400012 http://orcid.org/0000-0003-3679-4415
  • Beena Joshi Scientist-F, Department of Operational Research (DOR), Indian Council of Medical Research (ICMR), National Institute for Research in Reproductive and Child Health (NIRRCH), Parel, Mumbai, 400012 http://orcid.org/0000-0003-2187-4922

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222509

Keywords:

Uterine Balloon Tamponade, Clinical effectiveness, Bakri balloon UBT, Condom-UBT, ESM-UBT, Postpartum haemorrhage

Abstract

 

Background: World Health Organisation recommends using Uterine Balloon Tamponade (UBT) for refractory atonic postpartum haemorrhage (PPH) management provided treatment protocols and surgical recourse is possible.

 

Methods: This review collated literature from three electronic databases between January 2010 to December 2019 to compare clinical effectiveness, safety and use related parameters for condom-UBT, Bakri balloon and Every Second Matters (ESM) UBT devices used in India.

 

Results: Thirty-three eligible studies reported effectiveness in managing all PPH causes ranging from 84.2% to 98.3% for condom-UBT and from 65.3% to 94.8% for Bakri-UBT. Three ESM-UBT studies reported PPH survival rates of 94% to 97.4%. Mean UBT effectiveness in controlling atonic PPH was 92.3% for condom-UBT, 84.3% for Bakri-UBT and 97.3% for ESM-UBT. Condom-UBT and Bakri-UBT were comparable across parameters whereas limited ESM-UBT evidence reported success in preventing maternal deaths.

 

Conclusions: For limitations and heterogeneity in methodology and outcome parameters with existing evidence, a robust comparative RCT between UBT devices in India is recommended.

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Published

2022-09-27

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Review Articles