{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:31:00Z","timestamp":1762918260207},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"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":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess feasibility and acceptability of a novel, low\u2010cost \u201cSuction Tube Uterine Tamponade\u201d (STUT) treatment for refractory postpartum hemorrhage (PPH).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We allocated patients with refractory PPH by randomly ordered envelopes to STUT or routine uterine balloon tamponade (UBT, Ellavi free\u2010flow system) in 10 hospitals in South Africa. In the STUT group, a 24FG Levin stomach tube was inserted into the uterine cavity and vacuum created with a vacuum pump or manual vacuum aspiration syringe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For this internal pilot study, 12 participants were allocated to STUT and 12 to UBT. Insertion failed in one of each group and was recorded as difficult in 3\/10 STUT and 4\/9 UBT insertions respectively (five missing data). There were two laparotomies and one intensive care unit admission in the UBT group. Pain during STUT insertion was graded as none\/mild in 9\/10 and severe in 1\/10. The experience of the STUT procedure was graded as fine in 4\/11 and \u201cuncomfortable but acceptable\u201d in 7\/11.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>STUT is feasible and acceptable, justifying continuation of our trial. These data will also inform a large World Health Organization trial to test effectiveness of uterine tamponade methods. The numbers are too small to support any clinical recommendation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13963","type":"journal-article","created":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T05:01:59Z","timestamp":1633410119000},"page":"79-85","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["\u201cSuction Tube Uterine Tamponade\u201d for treatment of refractory postpartum hemorrhage: Internal feasibility and acceptability pilot of a randomized clinical trial"],"prefix":"10.1002","volume":"158","author":[{"given":"Sylvia N.","family":"Cebekhulu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Department of Health Bloemfontein Bongani Regional Hospital University of the Free State  Hartbeespoort South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hazmath","family":"Abdul","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Queen Nandi Regional Hospital, Empangeni University of KwaZulu\u2010Natal  KwaZulu\u2010Natal South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Batting","sequence":"additional","affiliation":[{"name":"Effective Care Research Unit Eastern Cape Department of Health Universities of the Witwatersrand, Walter Sisulu, and Fort Hare  East London South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence","family":"Chauke","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Charlotte Maxeke Johannesburg Academic Hospital University of the Witwatersrand  Witwatersrand South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuziwe","family":"Dlakavu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Steve Biko Academic Hospital University of Pretoria  Pretoria South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sue","family":"Fawcus","sequence":"additional","affiliation":[{"name":"Department Obstetrics and Gynaecology University of Cape Town  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Logie","family":"Govender","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Queen Nandi Regional Hospital, Empangeni University of KwaZulu\u2010Natal  KwaZulu\u2010Natal South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Busiwe","family":"Majeke","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology at Cecilia Makiwane Hospital Walter Sisulu University  East London South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xolani","family":"Mbongozi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Nelson Mandela Academic Hospital Walter Sisulu University  Mthatha South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mandisa","family":"Singata\u2010Madliki","sequence":"additional","affiliation":[{"name":"Effective Care Research Unit Eastern Cape Department of Health Universities of the Witwatersrand, Walter Sisulu, and Fort Hare  East London South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrin","family":"Middleton","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Frere Hospital and Walter Sisulu University  East London South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philiswa","family":"Mlandu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Chris Hani Baragwaneth Academic Hospital University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Poovangela","family":"Naidoo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Chris Hani Baragwaneth Academic Hospital University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanele","family":"Ndaba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Kalafong Hospital University of Pretoria  Pretoria South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priya","family":"Soma\u2010Pillay","sequence":"additional","affiliation":[{"name":"UP\/SAMRC Research Centre for Maternal Fetal, Newborn and Child Healthcare Strategies Department of Obstetrics and Gynaecology Steve Biko Academic Hospital University of Pretoria  Pretoria South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevi","family":"Spence","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology New Somerset Hospital  Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Symphorien C.","family":"Ntambua","sequence":"additional","affiliation":[{"name":"Department of Health Department of Obstetrics and Gynaecology Bongani Regional Hospital Free State  Hartbeespoort South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justus","family":"Hofmeyr","sequence":"additional","affiliation":[{"name":"Effective Care Research Unit Eastern Cape Department of Health Universities of the Witwatersrand, Walter Sisulu, and Fort Hare  East London South Africa"},{"name":"University of Botswana  Botswana South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,10,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1596\/978-1-4648-0348-2_ch7"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.2016.v106i5.10822"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013663"},{"key":"e_1_2_9_5_1","unstructured":"WHO recommendation on uterine balloon tamponade for the treatment of postpartum haemorrhage.Geneva:World health Organization;2021.https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/340796\/9789240013841\u2010eng.pdf"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14382"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2017.1297407"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0248656"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-016590"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15903"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16819"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13028"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14809"},{"key":"e_1_2_9_14_1","unstructured":"FawcusS&MoodleyJ(eds).A monograph of the Management of Postpartum Hemorrhage.South African National Department of Health; 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