Ann Gynecol Obstetr Res | Volume 8, Issue 1 | Research Article | Open Access
Tagore S, Hardie AN, Abdul Rahman MFB, Tan LK and Mathur M
Department of Maternal Fetal Medicine, KK Women’s and Children’s Hospital, Singapore
Department of Obstetrics and Gynaecology, KK Women’s and Children’s Hospital, Singapore
Our aim is to present our experience with the new vacuum-induced control device (JADA) for the management of Post-Partum Haemorrhage (PPH). Early identification and intervention are crucial to achieve haemostasis in primary PPH. We assessed the use of the new vacuum-induced control device (JADA) in 10 women, who failed first-line management with uterotonics for PPH secondary to uterine atony at more than 37 weeks of gestation. PPH was successfully controlled with the JADA device in 60% of vaginal deliveries and in all of caesarean births. The success rate was highest in cases with isolated uterine atony for both groups. Bleeding was controlled within 7 minutes with an average of 4.75 mins. In two women, PPH was not successfully controlled with JADA, one required hysterectomy and the other underwent emergency interventional uterine artery embolization. Both required multi-disciplinary care and were transferred to another tertiary hospital. No uterine perforation or deaths were reported and the follow ups with the women have been uneventful. Our initial data is an evaluation of the JADA system in a small group of women which shows that JADA system is safe and effective in rapid control of PPH. A large prospective study would be useful.
JADA; Post-partum haemorrhage; Vacuum-induced control device
Tagore S, Hardie AN, Abdul Rahman MFB, Tan LK, Mathur M. New Vacuum- Induced Control Device (JADA) for the Management of Post-Partum Haemorrhage (PPH): A Case Series from a Tertiary Hospital in Singapore. Ann Gynecol Obstetr Res. 2025; 8(1):1030.