Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

1,938 questions · 1,994 findings · 246 reviews · Headline outcomes only

No studies found 490 · 24.6%GRADE not reported 71 · 3.6%Very low 669 · 33.6%Low 446 · 22.4%Moderate 264 · 13.2%High 54 · 2.7%

Intrauterine balloon tamponade plus normal care (misoprostol) vs normal care (misoprostol)

Blood transfusion (red cell or whole blood) · women diagnosed with primary PPH following vaginal birth. Women were suspected to have PPH due to clinical atony and who were quote:…

It is very uncertain whether intrauterine balloon tamponade plus normal care (misoprostol) changes blood transfusion (red cell or whole blood) compared with normal care (misoprostol) (very low certainty).

1 finding from 1 review

Intrauterine balloon tamponade plus normal care (misoprostol) vs normal care (misoprostol)

Side effects of the intervention (e.g. trauma, necrosis) ‐ Severe shivering, diarrhoea, vomiting or high temperature · women diagnosed with primary PPH following vaginal birth. Women were suspected to have PPH due to clinical atony and who were quote:…
1 finding from 1 review

Intrauterine balloon tamponade (latex balloon inflated with air) plus cerclage and normal care vs normal care

Hysterectomy to control bleeding · women with PPH, due to atony, following vaginal birth at home or in hospital (Soltan 2007)

It is very uncertain whether intrauterine balloon tamponade (latex balloon inflated with air)… changes hysterectomy to control bleeding compared with normal care (very low certainty).

1 finding from 1 review

Intrauterine balloon tamponade (latex balloon inflated with air) plus cerclage and normal care vs normal care

Serious maternal morbidity (renal or respiratory failure, cardiac arrest or multiple organ failure) · women with PPH, due to atony, following vaginal birth at home or in hospital (Soltan 2007)

The review found no eligible studies for this question.

1 finding from 1 review

Intrauterine balloon tamponade (latex balloon inflated with air) plus cerclage and normal care vs normal care

Number of women with total blood loss 1000 mL or more after randomisation · women with PPH, due to atony, following vaginal birth at home or in hospital (Soltan 2007)

The review found no eligible studies for this question.

1 finding from 1 review

Intrauterine balloon tamponade (latex balloon inflated with air) plus cerclage and normal care vs normal care

Blood transfusion (red cell or whole blood) · women with PPH, due to atony, following vaginal birth at home or in hospital (Soltan 2007)

The review found no eligible studies for this question.

1 finding from 1 review

External uterine compression (all methods) plus normal care vs normal care

Serious maternal morbidity (renal or respiratory failure, cardiac arrest or multiple organ failure) ‐ not reported · women diagnosed with primary PPH following vaginal birth. PPH was defined as quote: "blood loss > 500mL after delivery" p 601

The review found no eligible studies for this question.

1 finding from 1 review

Bakri balloon tamponade vs condom‐loaded Foley Catheter (one intrauterine tamponade compared to another intrauterine tamponade technique)

Hysterectomy to control bleeding · women with primary atonic postpartum haemorrhage following vaginal delivery

It is very uncertain whether bakri balloon tamponade changes hysterectomy to control bleeding compared with condom‐loaded Foley Catheter (one intrauterine tamponade compared to… (very low certainty).

1 finding from 1 review

Bakri balloon tamponade vs condom‐loaded Foley Catheter (one intrauterine tamponade compared to another intrauterine tamponade technique)

Serious maternal morbidity (renal or respiratory failure, cardiac arrest or multiple organ failure) · women with primary atonic postpartum haemorrhage following vaginal delivery

The review found no eligible studies for this question.

1 finding from 1 review

Bakri balloon tamponade vs condom‐loaded Foley Catheter (one intrauterine tamponade compared to another intrauterine tamponade technique)

Number of women with total blood loss 1000 mL or more after randomisation · women with primary atonic postpartum haemorrhage following vaginal delivery

The review found no eligible studies for this question.

1 finding from 1 review

Bakri balloon tamponade vs condom‐loaded Foley Catheter (one intrauterine tamponade compared to another intrauterine tamponade technique)

Mean blood loss (mL) (trialist defined) · women with primary atonic postpartum haemorrhage following vaginal delivery

The review found no eligible studies for this question.

1 finding from 1 review

Bakri balloon tamponade vs condom‐loaded Foley Catheter (one intrauterine tamponade compared to another intrauterine tamponade technique)

Blood transfusion (red cell or whole blood) · women with primary atonic postpartum haemorrhage following vaginal delivery

It is very uncertain whether bakri balloon tamponade changes blood transfusion (red cell or whole blood) compared with condom‐loaded Foley Catheter (one intrauterine tamponade compared to… (very low certainty).

1 finding from 1 review

Bakri balloon tamponade vs condom‐loaded Foley Catheter (one intrauterine tamponade compared to another intrauterine tamponade technique)

Side effects of the intervention (e.g. trauma, necrosis) · women with primary atonic postpartum haemorrhage following vaginal delivery

The review found no eligible studies for this question.

1 finding from 1 review

Bakri balloon tamponade+traction stitch vs Bakri balloon (one intrauterine tamponade compared to another intrauterine tamponade technique)

Hysterectomy to control bleeding · women with primary atonic postpartum haemorrhage

It is very uncertain whether bakri balloon tamponade+traction stitch changes hysterectomy to control bleeding compared with bakri balloon (one intrauterine tamponade compared to another… (very low certainty).

1 finding from 1 review