Journal
International Journal of Nursing and Midwifery: 9 (8) August 2017
Postpartum hemorrhage (PPH) is the leading cause of maternal morbidity and mortality world-wide.
Although declining globally, maternal mortality is on the rise in the United States. Since uterine balloon
tamponade (UBT) has been shown to be safe as well as highly effective in arresting PPH and halting
shock progression, this study sought to clarify the practice and perceptions of UBT use among
midwives and family physicians in the United States. A cross-sectional 12-item survey on the practice,
experiences and perceptions of uterine balloon tamponade utilization for PPH management was
conducted among midwives and family physicians that perform deliveries in the United States. The
survey settings were one family medicine and two midwifery national conferences in the United States.
One hundred and ninety-seven midwives (164; 83.2%) and family physicians (33; 16.8%) completed the
surveys. The 197 providers had previously cared for a mean of 6.0 (SD= 18.8) uncontrolled PPH cases
each, over the course of their career till date. Eighty (40.6%) of the 197 respondents had been involved
with at least one hemorrhaging woman in which a UBT was placed, but only 13 (7.9%) of the 164
midwives and 6 (18.2%) of the 33 family physicians had ever placed a UBT device themselves. One
hundred and thirty-one (73.6%) of 178 providers desired training on use of UBT. Midwives and family
physicians in the United States care for women with uncontrolled PPH, however, infrequently place a
UBT device. Most midwives and family physicians would like training on uterine balloon tamponade.
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