{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T08:05:05Z","timestamp":1789718705213,"version":"4.0.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n To compare the rates of bleeding recurrence and other post\u2010partum haemorrhage (PPH)\u2010related clinical outcomes in women with PPH initially controlled by intrauterine balloon tamponade (IUBT) according to its duration.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Exploratory cohort study from a randomised trial.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Eighteen hospitals in France.<\/jats:p>\n <\/jats:sec>\n \n Population<\/jats:title>\n All women included in the randomised trial and managed with IUBT. Those whose balloon was removed within the first 2\u2009h of placement because of spontaneous expulsion and those who underwent invasive procedures before the planned IUBT removal were excluded.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The first quartile of the distribution of the IUBT duration was 6.9\u2009h, and we divided the population into two groups according to the duration: \u2264\u20097\u2009h vs.>\u20097\u2009h. To control for confounding factors, we used a propensity score adjustment approach.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n Need for an invasive procedure, rate of recurrence of bleeding after removal of the IUBT, and mean quantified peri\u2010partum blood loss.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Totally, 199 women were included. No invasive procedures were performed, and there was no recurrence of bleeding in either group. There were no significant differences in mean (\u00b1SD) quantified total blood loss (1126\u2009\u00b1\u2009383\u2009mL vs. 1240\u2009\u00b1\u2009505\u2009mL,\n p<\/jats:italic>\n \u2009=\u20090.1) or the need for transfusion (9 [18%] vs. 40 [27%],\n p<\/jats:italic>\n \u2009=\u20090.2) between groups, even after adjustment.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n A shorter IUBT duration (7\u2009h) is not associated with unfavourable PPH outcomes and may therefore be a reasonable option if ongoing haemorrhage has abated. However, these findings should be interpreted with caution due to the imbalance in clinical indication between groups.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1471-0528.18345","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T07:38:51Z","timestamp":1756712331000},"page":"123-131","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Duration of Intrauterine Balloon Tamponade in Post\u2010Partum Haemorrhage Management After Vaginal Delivery: A Secondary Cohort Analysis From the French\n TUB<\/scp>\n Trial"],"prefix":"10.1111","volume":"133","author":[{"given":"Charles","family":"Garabedian","sequence":"first","affiliation":[{"name":"CHU Lille Department of Obstetrics Lille France"},{"name":"Univ. Lille ULR2694 \u2013 Metrics Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Prats","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Centre Hospitalier Intercommunal de Poissy\/Saint\u2010Germain\u2010en\u2010Laye Poissy France"},{"name":"Paris Saclay University UVSQ, Inserm, Team U1018, Clinical Epidemiology, CESP Montigny\u2010le\u2010Bretonneux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aur\u00e9lien","family":"Seco","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, CRESS U1153 Obstetrical Perinatal and Pediatric Epidemiology (EPOP\u00e9) Research Team, INSERM Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6561-3321","authenticated-orcid":false,"given":"Catherine","family":"Deneux\u2010Tharaux","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, CRESS U1153 Obstetrical Perinatal and Pediatric Epidemiology (EPOP\u00e9) Research Team, INSERM Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Rozenberg","sequence":"additional","affiliation":[{"name":"Paris Saclay University UVSQ, Inserm, Team U1018, Clinical Epidemiology, CESP Montigny\u2010le\u2010Bretonneux France"},{"name":"Department of Obstetrics and Gynecology American Hospital of Paris Neuilly\u2010sur\u2010Seine France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7814-6945","authenticated-orcid":false,"given":"Paul","family":"Berveiller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Centre Hospitalier Intercommunal de Poissy\/Saint\u2010Germain\u2010en\u2010Laye Poissy France"},{"name":"Paris Saclay University INRAE, Mixed Research Unit 1198 BREED, RhuMA Team Montigny\u2010le\u2010Bretonneux 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