- Uterine balloon tamponade (UBT) for the treatment of postpartum hemorrhage (PPH) is generally successful and associated with low risk for complications.
Why this matters
- PPH is the leading cause of maternal morbidity and mortality worldwide.
- The overall pooled rate of UBT success (90 studies) was 85.9% (95% CI, 83.9%-87.9%).
- UBT was most successful for (95% CIs):
- Uterine atony: 87.1% (84.1%-89.9%); and
- Placenta previa: 86.8% (82.3%-90.6%).
- UBT was least successful for:
- Placenta accreta spectrum disorder: 66.7% (49.4%-81.9%); and
- Retained products of conception: 76.8% (65.3%-86.5%).
- UBT was more successful in cases of vaginal delivery compared with cesarean delivery: 87.1% vs 81.7%.
- Overall complication rate was ≤6.5%.
- Complications of UBT included fever or infection (6.5%), endometritis (2.3%), cervical tears (1.7%), laceration of lower segment of vagina (4.8%), uterine incision rupture (1.9%), and uterine perforation (2.0%).
- UBT reduced the use of arterial embolization: relative risk, 0.29 (95% CI, 0.14-0.63).
- Systematic review and meta-analysis (91 studies; 4729 women).
- The main outcome measure was the success rate of UBT for the treatment of all causes of PPH.
- Funding: None.
- Limitations related to limitations of original studies.