Vacuum-Induced Tamponade for Treatment of Postpartum Hemorrhage

In Brief BACKGROUND: Postpartum hemorrhage is a main cause of maternal mortality worldwide, with rising incidence, thus demanding new treatment approaches. Intrauterine balloon systems application intrauterine vacuum are promising method. METHOD: All women treated vacuum-induced tamponade using modified system were included in this single-center study. Aiming to reduce uterine size for control postpartum hemorrhage, the was filled 50–100 mL and connected device. Success rate tamponade, defined as no need additional interventional treatment, analyzed by etiology time period use. EXPERIENCE: Vacuum-induced applied 66 women. 86% atony (n=44) 73% due placental pathology (n=22). improved over study period, culminating success 100% second half observation CONCLUSION: This observational supports our pathophysiologic understanding atony: treat an atonic uterus, volume must be reduced, leading coiling spiral arteries and, hence, reduced blood loss. appears easy-to-use, method particularly atony.