Postpartum hemorrhage is when a woman experiences heavy bleeding after giving birth. This is a serious condition that can occur within a day of delivery, but can occur up to 12 weeks after delivery. Postpartum hemorrhage (PPH) is the leading cause of maternal death. All pregnant women over 20 weeks pregnant are at risk for pre-term labor and its associated cries. According to WHO in 2018, the main cause of maternal death was postpartum hemorrhage, in Indonesia the highest maternal mortality rate in 2013 occurred due to bleeding after childbirth, which was around 30.3% (Kemenkes RI, 2014).
PPH can cause a severe drop in blood pressure. If not treated immediately, this can lead to shock and death. Shock is when your organs don't get enough blood flow. In this case, a trained and skilled healthcare professional places a balloon catheter in the uterus which once filled will then apply hydrostatic pressure to restrict blood flow while aiding coagulation. In 2019, WHO recommendations on UBT are prioritized for updating, given the new evidence regarding the balance of risks and benefits of this intervention. This article looks at how new versions of devices that are cost-effective, safe, and easy to use are innovating. The review found that uterine catheter balloon tamponade is an effective way to treat refractory PPH, and that the available evidence is insufficient to make any specific cost-effectiveness recommendations. Most deaths from PPH (postpartum hemorrhage) occur during the first 24 hours after birth, and could be prevented if there were innovations in better health care for women during delivery to prevent these symptoms.
The first step in treating women with PPH is to identify the source of the blood loss, uterine atony (when the uterine muscles do not contract (tighten) properly after childbirth), the most common cause of PPH must be appropriately addressed, starting with fundal massage, bladder drainage , administration of uterotonic tonics, then aortic compresses. Â The long-term goal of this research is to develop an updated version of the condom-uterine-catheter-balloon tamponade (CUBT) that will help address the problem of postpartum obstetric bleeding in the most effective way. However, the short-term solutions offered, such as supplementing with iron supplements, oxygen saturation, massaging the uterus, or removing the remaining placenta, are not enough to completely prevent blood loss. The overall goal is to create an innovation that can help prevent maternal mortality due to postpartum hemorrhage. This is especially important in rural areas and developing countries, where these cases are common. The solution offered must be easy to use and must be made from materials that can be sourced locally, but still remain sterile and effective. This is something that must be done with care to ensure women's health is protected. The long-term goal of this research is to develop a more updated version of the study that qualitatively describes the experiences of women and their birth partners who experienced primary PPH. The study was found to have a correlation. In this qualitative study, eleven women and six couples were interviewed. The data was organized into four interrelated themes - Control, Communication, Consequence, and Competence. More than half of women and their birthing partners are unaware of PPH and want to provide information during or during childbirth (Dunning et al., 2016). The results suggest that birth partners also need more information, especially if they were separated from their partner during PPH. This study provides valuable insight into women's accounts of their feelings and experiences during and after PPH, and how their partners felt after observing PPH. This study suggests that women who have experienced any level of PPH want more information.
Therefore, it is very important for researchers to study this issue in order to protect the health of women. Further research is needed to find solutions to the health problems caused by ADHD, as well as to protect the national health system. There is also an urgent need to identify low-cost interventions that can be implemented in various resource-poor countries. Therefore, the innovation of condom uterine catheter balloon tamponade (CUBT) may be an effective solution.
