Uterine vacuum tamponade for treatment of postpartum haemorrhage: a randomized study

INTERVENTION: Standard care Suction tube uterine tamponade CONDITION: ; Postpartum haemorrhage Postpartum haemorrhage PRIMARY OUTCOME: Measured blood loss within 60 minutes after enrollment >median for the control group (lognormal distribution comparison), or operative procedures (eg laparotomy, hysterectomy) or death SECONDARY OUTCOME: Blood loss within 60 minutes after enrollment >500ml (lognormal distribution comparison) or operative procedures (eg laparotomy, hysterectomy) or death Blood pressure, pulse and shock index 10 minutes after enrolment Blood transfusion or death Change in Haemoglobin levels pre‐ delivery to post delivery ICU admission or death Mean blood loss within 60 minutes after enrollment. INCLUSION CRITERIA: Women 18 years old or more with PPH thought to be arising from the uterine cavity; condition not imminently life‐threatening; no serious medical conditions. Other possible causes of haemorrhage such as cervical or vaginal tears will be excluded by inspection according to local care protocols prior to randomization