Uterine balloon volume shifts using a free-flow uterine balloon in the management of refractory postpartum haemorrhage

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dc.contributor.advisorTheron, Gerhardus Barnarden_ZA
dc.contributor.advisorLangenegger, Eduard Jacobusen_ZA
dc.contributor.authorHassim, Tasleemen_ZA
dc.contributor.authorKidd, Martinen_ZA
dc.contributor.otherStellenbosch University. Faculty of Medicine and Health Sciences. Dept. Obstetrics and Gynaecology.en_ZA
dc.date.accessioned2023-11-27T07:05:54Zen_ZA
dc.date.accessioned2024-01-08T17:12:02Zen_ZA
dc.date.available2023-11-27T07:05:54Zen_ZA
dc.date.available2024-01-08T17:12:02Zen_ZA
dc.date.issued2023-12en_ZA
dc.descriptionThesis (MMed)--Stellenbosch University, 2023.en_ZA
dc.description.abstractENGLISH ABSTRACT: Background Uterine balloon tamponade (UBT) is used as part of the postpartum haemorrhage (PPH) algorithm for the treatment of PPH. Objectives The free-flow Ellavi uterine balloon controls the pressure in the uterine balloon by adjusting the height of the supply bag above the patient and allows for expulsion of water from the balloon. The study quantified the volume shifts in the supply bag and assessed the optimal use of the Ellavi UBT by reducing the intrauterine pressure at regular intervals. Methods A prospective descriptive study of consecutive patients with refractory PPH was conducted. For Group A, the supply bag was weighed every 30 minutes with a sensitive digital scale. Additionally, for Group B the supply bag was lowered by 50% and the uterus gently massaged for 30 seconds. Results Thirteen patients were included in the study. The mean volume was 23.5ml for Group A and 132.7ml for Group B. The difference in the means of Groups A and B was borderline significant (P = 0.06). Conclusion The study did find volume shifts in the free-flow system, and this may be enhanced by lowering the supply bag halfway at regular intervals.en_ZA
dc.description.abstractAFRIKAANSE OPSOMMING: Geen opsomming beskikbaar.af_ZA
dc.description.versionMastersen_ZA
dc.identifier.urihttps://scholar.sun.ac.za/handle/10019.1/128957en_ZA
dc.language.isoen_ZAen_ZA
dc.language.isoen_ZAen_ZA
dc.publisherStellenbosch : Stellenbosch Universityen_ZA
dc.rights.holderStellenbosch Universityen_ZA
dc.subject.lcshPuerperal disordersen_ZA
dc.subject.lcshUterine hemorrhage -- Preventionen_ZA
dc.subject.lcshMothers -- Mortality -- Preventionen_ZA
dc.subject.lcshBlood -- Transfusion, Intrauterineen_ZA
dc.titleUterine balloon volume shifts using a free-flow uterine balloon in the management of refractory postpartum haemorrhageen_ZA
dc.typeThesisen_ZA
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