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Uterine balloon volume shifts using a free-flow uterine balloon in the management of refractory postpartum haemorrhage
Thesis (MMed)--Stellenbosch University, 2023.
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| Format: | Thesis |
| Language: | en_ZA en_ZA |
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Stellenbosch : Stellenbosch University
2023
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| _version_ | 1867614040714379265 |
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| access_status_str | Open Access |
| author | Hassim, Tasleem Kidd, Martin |
| author2 | Theron, Gerhardus Barnard |
| author_browse | Hassim, Tasleem Kidd, Martin Theron, Gerhardus Barnard |
| author_facet | Theron, Gerhardus Barnard Hassim, Tasleem Kidd, Martin |
| author_sort | Hassim, Tasleem |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2023. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/128957 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA en_ZA |
| last_indexed | 2026-06-10T12:45:43.568Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/128957 Uterine balloon volume shifts using a free-flow uterine balloon in the management of refractory postpartum haemorrhage Hassim, Tasleem Kidd, Martin Theron, Gerhardus Barnard Langenegger, Eduard Jacobus Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. Obstetrics and Gynaecology. Puerperal disorders Uterine hemorrhage -- Prevention Mothers -- Mortality -- Prevention Blood -- Transfusion, Intrauterine Thesis (MMed)--Stellenbosch University, 2023. ENGLISH 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. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2023-11-27T07:05:54Z 2024-01-08T17:12:02Z 2023-11-27T07:05:54Z 2024-01-08T17:12:02Z 2023-12 Thesis https://scholar.sun.ac.za/handle/10019.1/128957 en_ZA en_ZA Stellenbosch University application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Puerperal disorders Uterine hemorrhage -- Prevention Mothers -- Mortality -- Prevention Blood -- Transfusion, Intrauterine Hassim, Tasleem Kidd, Martin Uterine balloon volume shifts using a free-flow uterine balloon in the management of refractory postpartum haemorrhage |
| title | Uterine balloon volume shifts using a free-flow uterine balloon in the management of refractory postpartum haemorrhage |
| title_full | Uterine balloon volume shifts using a free-flow uterine balloon in the management of refractory postpartum haemorrhage |
| title_fullStr | Uterine balloon volume shifts using a free-flow uterine balloon in the management of refractory postpartum haemorrhage |
| title_full_unstemmed | Uterine balloon volume shifts using a free-flow uterine balloon in the management of refractory postpartum haemorrhage |
| title_short | Uterine balloon volume shifts using a free-flow uterine balloon in the management of refractory postpartum haemorrhage |
| title_sort | uterine balloon volume shifts using a free flow uterine balloon in the management of refractory postpartum haemorrhage |
| topic | Puerperal disorders Uterine hemorrhage -- Prevention Mothers -- Mortality -- Prevention Blood -- Transfusion, Intrauterine |
| url | https://scholar.sun.ac.za/handle/10019.1/128957 |
| work_keys_str_mv | AT hassimtasleem uterineballoonvolumeshiftsusingafreeflowuterineballooninthemanagementofrefractorypostpartumhaemorrhage AT kiddmartin uterineballoonvolumeshiftsusingafreeflowuterineballooninthemanagementofrefractorypostpartumhaemorrhage |