{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T07:06:26Z","timestamp":1768201586840,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T00:00:00Z","timestamp":1596153600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate obstetric hemorrhage outcomes and present data specific to adoption of pneumatic circumferential abdominopelvic compression devices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two resource\u2010limited locations added low\u2010cost pneumatic compression devices to their standard protocols for obstetric hemorrhage between 2010 and 2019. Providers in rural Nepal and Papua New Guinea used devices that incorporated a bicycle tube or soccer ball (\u201cBall and Binder\u201d) to provide abdominopelvic pressure after all available routine treatments had failed. Data were collected during the entire period as part of ongoing obstetric quality improvement. Data presented include obstetric event, etiology of bleeding, need for surgery, transfusion, transport, length of transports, maternal survival, and complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Circumferential abdominopelvic compression was used 106 times. The devices were used primarily after vaginal birth with atony, but also for obstetrical lacerations, miscarriages, and post\u2010abortion bleeding. In all cases the bleeding stopped \u201cpromptly.\u201d All women survived, none required hysterectomy, and no complications were reported resulting from device use. Only 15 (14%) patients were transported to a referral hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this quality improvement project, obstetric hemorrhage was controlled when circumferential pressure was applied after usual care had failed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13291","type":"journal-article","created":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T18:39:27Z","timestamp":1593715167000},"page":"97-102","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Obstetric hemorrhage in resource\u2010limited locations: A quality improvement project after adoption of abdominopelvic compression devices"],"prefix":"10.1002","volume":"151","author":[{"given":"Nancy L.","family":"Kerr","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of New Mexico Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Hauswald","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine University of New Mexico Albuquerque NM USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suman R.","family":"Tamrakar","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Kathmandu University School of Medical Sciences Dhulikhel Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solomon","family":"Kalit","sequence":"additional","affiliation":[{"name":"Department of Surgery Porgera District Hospital Porgera Enga Province Papua New Guinea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"e_1_2_9_3_1","unstructured":"Georgia Maternal Mortality.2015.http:\/\/gaobgyn.org\/gaobgyn\/wp\u2010content\/uploads\/2018\/08\/Georgia\u2010Maternal\u2010Mortality\u2010Report\u20102012.pdf. 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