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Related Experiment Video

Updated: Jun 22, 2026

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

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External aortic compression device: the first aid for postpartum hemorrhage control.

Mohamed Hashem Soltan¹, Medhat Farag Faragallah, Mohamed Hany Mosabah

¹Departments of Obstetrics and Gynecology, University Maternity and Children Hospital, Faculty of Medicine, Minia University, Egypt. mohamedsoltan552@hotmail.com

The Journal of Obstetrics and Gynaecology Research

|June 17, 2009

Summary

The external aortic compression device (EACD) significantly reduced bleeding time and complications in postpartum hemorrhage (PPH) cases. This cost-effective first aid is valuable for managing PPH without mortality or morbidity.

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Area of Science:

Obstetrics and Gynecology
Emergency Medicine
Maternal Health

Background:

Postpartum hemorrhage (PPH) remains a leading cause of maternal mortality globally.
Effective and accessible first-aid interventions for PPH are crucial, especially in resource-limited settings.

Purpose of the Study:

To evaluate the efficacy and safety of the external aortic compression device (EACD) as a first-aid measure for controlling PPH.
To compare outcomes between women treated with EACD plus traditional management and those receiving traditional management alone.

Main Methods:

A quasi-randomized study involving 300 women with atonic PPH.
The study group received EACD alongside conventional PPH management.
The control group received conventional PPH management only.

Main Results:

Significantly shorter time to stop bleeding in the EACD group (36.8 min) compared to the control group (118.6 min).
No maternal mortality or morbidity (e.g., hysterectomy) observed in the EACD group, versus five hysterectomies and one mortality in the control group.
Reduced need for blood transfusions and uterotonic drugs in the EACD group.

Conclusions:

EACD is an effective, cost-effective, and easily applicable intervention for managing PPH.
The EACD significantly improves outcomes, preventing maternal mortality and morbidity associated with PPH.
EACD demonstrates considerable value as a first-aid tool for PPH management, particularly in developing countries.