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SYSTEMATIC REVIEW ON USE OF INTRAUTERINE BALLOON TAMPONADE IN MANAGEMENT OF POSTPARTUM HAEMORRHAGE

AKINYEMI Oluwatoyin Olajumoke, ESAN Deborah Tolulope

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ABSTRACT

In order to provide recommendations for a thorough and successful review on the use of intrauterine balloon tamponade (IUBT) in the management of postpartum hemorrhage (PPH) at all levels of healthcare, this systematic review will identify best practices and gaps in the management of postpartum hemorrhage (PPH).

In order to evaluate the current state of PPH and the use of Intrauterine Balloon Tamponade (IUBT) in the management of PPH, the review examined pertinent literature and data sources. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) Protocol served as the review's guide.

It began with a search of the literature for pertinent articles that addressed the management of postpartum hemorrhage. Selected abstracts were downloaded and initially checked for inclusion or exclusion criteria in the study after random and irrelevant results had been eliminated. A total of 32 papers were provisionally chosen from the preliminary screening based on the abstract. A total of 15 articles and papers that satisfy the inclusion requirements were chosen and given additional scrutiny after further screening.

Information about PPH demographics, a description of the program, and the degree of management success were taken from each of the qualifying studies. There was a report on the midwives' awareness of the use of IUBT in the management of PPH in all of the studies when uterine atony was the reason for the intervention.

All healthcare facilities must be prepared for early intervention in the prevention and management of postpartum hemorrhage, according to the review's findings, which show that the introduction of the IUBT device and package for the management of severe PPH was associated with a significant 15% decrease in the rate of a composite outcome of PPH-related maternal death and/or invasive procedures with an 85% success rate for hemorrhage control. Additionally, health workers need to have proper training on intrauterine balloon tamponade use in the management of PPH.

Keywords: Intrauterine balloon tamponade, Management, Postpartum haemorrhage