Makin Jennifer, Suarez-Rebling Daniela I, Varma Shivkumar Poonam, Tarimo Vincent, Burke Thomas F
Massachusetts General Hospital Division of Global Health and Human Rights, Boston, MA, USA.
Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Case Rep Obstet Gynecol. 2018 Jun 3;2018:4952048. doi: 10.1155/2018/4952048. eCollection 2018.
Postpartum hemorrhage is the most common cause of maternal deaths worldwide, the majority of which occur in low-resource settings. Uterine balloon tamponade (UBT) is an effective method of addressing uncontrolled postpartum hemorrhage (PPH) from uterine atony; however, UBT devices are often not affordable. We report on three novel uses of an ultra-low-cost condom uterine balloon tamponade (ESM-UBT) device.
ESM-UBT devices were used in innovative ways to arrest severe uncontrolled pregnancy-related hemorrhage among three women in India and Tanzania. The first had sustained deep vaginal lacerations, the second a cervical pregnancy, and the third a complete molar pregnancy.
The ESM-UBT device may be useful for control of obstetric hemorrhage caused by complex vaginal tears as well as cervical and molar pregnancies.
产后出血是全球孕产妇死亡的最常见原因，其中大多数发生在资源匮乏地区。子宫球囊填塞术（UBT）是治疗子宫收缩乏力导致的难以控制的产后出血（PPH）的有效方法；然而，UBT设备通常价格昂贵。我们报告了一种超低成本避孕套子宫球囊填塞术（ESM-UBT）设备的三种新用途。
ESM-UBT设备以创新方式用于印度和坦桑尼亚的三名妇女，以阻止严重的难以控制的与妊娠相关的出血。第一名妇女有持续性深部阴道撕裂伤，第二名妇女为宫颈妊娠，第三名妇女为完全性葡萄胎妊娠。
ESM-UBT设备可能有助于控制由复杂阴道撕裂伤以及宫颈和葡萄胎妊娠引起的产科出血。
