WHO recommendation on uterine balloon tamponade for the treatment of postpartum haemorrhage

Uterine balloon tamponade is recommended for the treatment of postpartum haemorrhage due to uterine atony after vaginal birth in women who do not respond to standard first-line treatment, provided the following conditions are met:  Immediate recourse to surgical intervention and access to blood products is possible if needed.  A primary postpartum haemorrhage first-line treatment protocol (including the use of uterotonics, tranexamic acid, intravenous fluids) is available and routinely implemented.  Other causes of postpartum haemorrhage (retained placental tissue, trauma) can be reasonably excluded.  The procedure is performed by health personnel who are trained and skilled in the management of postpartum haemorrhage, including the use of uterine balloon tamponade.  Maternal condition can be regularly and adequately monitored for prompt identification of any signs of deterioration.