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Postpartum haemorrhage (PPH) is responsible for more than one in three maternal deaths in Sub-Saharan Africa. The authors previously designed, and have been implementing (since August 2012), a uterine balloon tamponade (UBT) package for uncontrolled PPH called Every Second Matters for Mothers and Babies–UBT (ESM-UBT; Massachusetts General Hospital, Boston, USA) through local partners and ministries of health. Multicountry preliminary analysis demonstrated a 98% survival of women with severe uncontrolled PPH if delivery occurred at an ESM-UBT on-line facility.

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