Healthcare providers experiences of using uterine balloon tamponade (UBT) devices for the treatment of post-partum haemorrhage: A meta-synthesis of qualitative studies

Background Postpartum haemorrhage (PPH) is a leading cause of maternal mortality and severe morbidity globally. When PPH cannot be controlled using standard medical treatments, uterine balloon tamponade (UBT) may used to arrest bleeding. While UBT by healthcare providers in hospital settings internationally, their views experiences have not been systematically explored. The aim this review identify, appraise synthesize available evidence about the treat PPH. Methods Using pre-determined search strategy, we searched MEDLINE, CINAHL, PsycINFO, EMBASE, LILACS, AJOL, reference lists eligible studies published 1996–2019, reporting qualitative data on health professionals Author findings were extracted synthesised techniques derived from thematic synthesis confidence was assessed GRADE-CERQual. Results Out 89 identified 5 that met our inclusion criteria. conducted five low- middle-income countries (LMICs) Africa reported use simple devices for treatment A variety cadres (including midwives, officers clinical officers) had experience with UBTs found them effective, convenient, easy assemble relatively inexpensive. Providers also suggested regular, hands-on training necessary maintain skills highlighted importance community engagement successful implementation. Conclusions felt administration device offered practical cost-effective approach uncontrolled PPH, especially contexts where uterotonics ineffective or unavailable access surgery possible. are limited small number contributing further research other required address wider acceptability feasibility issues.