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TREATMENT OPTIONS

A run-down.

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  • Pharmaceuticals

    • Hormone Medications: Regulate the activity of body organs and their processes

      • Common Drugs include oxytocin and misoprostol

    • Uterotonic Medications: Increase the rate and strength of uterine contractions to help shorten labor

      • Common Drugs include methylergonovine and carboprost

    • In addition, medications, fluids, and blood are often delivered intravenously

  • Uterine Compression/Massaging: Pressing on or massaging the uterus to help shrink its size and control or prevent bleeding

Uterine compression

  • Tamponade

    • Uterine Packing: Packing the uterus with rolled gauze to stop blood loss

    • Condom Catheter: A catheter fitted with a condom is inflated with saline and left in the uterus for 24-48 hours until bleeding ceased

    • Balloon tamponade: Using an inflated balloon to stop bleeding

      • Specifically a Uterine Balloon Tamponade (UBT)

    • Alternative-->Inpress device: “suctions/vacuums” the uterus closed to stop bleeding​

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Balloon tamponade

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Inpress / Alydia Health device

  • Surgery

    • Dilation and Curettage: Surgical removal of the lining of the uterus by scraping and scooping

    • Hysterectomy: A surgery to remove a woman’s uterus or womb

  • Blood transfusions

    • A blood transfusion is the transfer of blood or blood products from a donor to a recipient’s bloodstream

    • This is done as a lifesaving maneuver when blood cells or blood products have been lost due to severe bleeding

Are these treatment options available in developing countries and/or rural areas? 

The only realistic options for rural areas (or any area without access to a clinic or hospital) are tamponade options. These require the least amount of “tools,” which could potentially be kept locally, if these materials were affordable enough. The major problem is that these products, tools, or materials would have to be cheap, easy to use, and accessible to all in the event of an emergency. This is extremely challenging. For this reason, the best option would be to identify at risk individuals early so that they could be admitted to a hospital for monitoring and care.

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