Uterine Balloon Tamponade

KMET In partnership with Massachusetts General Hospital (MGH) Harvard Medical School and Izumi Foundation, USA is running a research on an innovative way of empowering healthcare providers with skills on management of postpartum hemorrhage (PPH). This compliments strategies by the Ministry of health to achieve the millennium Development goal (MDG) 5; to improve Maternal Health.

Uterine Balloon Tamponade (UBT) is a medical device that can be used to treat Postpartum Hemorrhage  which is unresponsive to uterotonics and  other primary interventions .The main aim of this intervention is to develop an affordable technique  that can be used in low resource settings to address one of the main health threats to pregnant women which is excessive bleeding during or after delivery.

UBT technique consists of a water-filled balloon inserted into the uterine cavity to apply pressure to the walls of the mothers’ uterus to stop excessive bleeding after delivery thus providing a simple, rapid and affordable, effective point of care method of managing PPH.

A complete kit consists of 2 condoms, 2 cotton strings, 1 Foley catheter, a 60ml syringe, 1 data card and 1 referral card.

Post-Partum Hemorrhage contributes to 34% of maternal deaths (287,000) making it one of the most common causes of maternal mortality in Kenya. It is therefore critical that health care workers expand their options of managing PPH. One such option is to help healthcare workers to master use of a uterine balloon tapenade in the management of Postpartum Hemorrhage.

The project is implemented through;

  • Organized trainings targeting Healthcare Providers, amongst others: Physicians, Gynaecologists, Nurses and Nurse midwives, Clinical officers  in all level of health facilities and trained community midwives.
  • Training of trainers.
  • Continued rigorous data collection.
  • Facility Mentorship, Partnership with stakeholders.
  • Further scale up to reach 350 facilities in Kenya.

  • Fast acting: Can arrest PPH in 5 to 10 minutes.
  • Effective in over 85% of cases.
  • Critical when Uterotonics fail or are unavailable.
  • Reduces the amount of bleeding during transport and stabilization.
  • Less invasive and safer method for controlling PPH than surgical approaches.
  • After insertion it allows for transport while in situations.
  • Low cost: (approx. 5 dolars)
  • The kit has a minimized parts that can be easily assembled locally.
  • Pre-assembled.

UBT is currently being implemented in ten counties in Kenya namely; Siaya, Kisumu, Homabay, Kakamega, Nakuru, Nairobi, Garissa, Isiolo, Marsabit and Turkana and covering a total of 238 health facilities (private, public and faith based). Up to date 90 lives have been saved through uterine balloon tamponed.