The effectiveness of using uterine tampons in treating uterine atony

Abstract

Postpartum hemorrhage is excessive bleeding that occurs after delivery due to blood loss of 500 mL in a standard delivery or 1,000 mL in a cesarean delivery. Postpartum hemorrhage is divided into primary and secondary and classified based on the 4 Ts: tone, trauma, tissue, and thrombin. Uterine atony is the most common cause. The use of uterine tamponade is an option to treat postpartum hemorrhage (PPP) because it is relatively non-invasive, with a success rate of more than 80%. Using uterine tamponade is easy and quite simple but requires hands-on training to increase confidence in installing uterine tamponade. The literature sources used are Google Scholar, Pubmed, Science Direct, Hindawi, Medline, and Cochrane. After obtaining appropriate literature, the literature is compiled. Uterine tamponade is a second-line treatment for uterine atony that does not respond to uterotonics. Based on the literature search that has been carried out, uterine tamponade is an effective therapy for PPH, is easy to use, and has a low risk of harm with a success rate of 80-87.3%. The use of uterine tamponade can also significantly reduce the need for invasive procedures. Uterine atony is the most common cause of PPH, which results in morbidity and mortality. Uterine tamponade has been proven to be effective, safe, practical, and cheap to treat PPH in daily practice. Further research may be needed in Indonesia to determine the effectiveness of uterine tamponade in treating uterine atony.