Postpartum hemorrhage (PPH) continues to be a primary contributor to maternal mortality globally. Although there is extensive knowledge regarding the management of PPH, access to effective instruments is frequently inadequate in low-resource environments. In the United States, the JADA® System has ushered in a new approach through vacuum-induced uterine tamponade, which facilitates uterine contraction and controls hemorrhage. Nevertheless, the high price of JADA, the need for cervical dilation, and its limited FDA approval hinder its global application.

In low-resource contexts, innovative and affordable methods are essential. Two significant techniques that have surfaced are FOCUS (Foley catheter for uterine suction) and STUT (suction tube uterine tamponade). Both approaches make use of widely available tools and demonstrate potential in managing PPH.

FOCUS utilizes a standard urinary Foley catheter linked to a vacuum source. By inflating the balloon within the uterus and employing continuous suction, uterine contraction is stimulated. This technique is beneficial as it can be applied at any gestational stage, does not necessitate cervical dilation, and is economically viable at under $2 per application. The materials required for FOCUS are often already included in PPH kits around the world, making it suitable for medical missions and rural healthcare facilities.

STUT, conceived in South Africa and Latin America, involves the introduction of a gastric suction tube into the uterus, which is then connected to wall suction. In a multicenter study, this method surpassed balloon tamponade by reducing discomfort. Both FOCUS and STUT are practical in settings where conventional resources are scarce.

These methods present effective solutions for managing PPH with instruments commonly found in labor units worldwide. They are straightforward to reproduce and can be quickly taught, providing a critical resource in preventing hysterectomies and maternal deaths in high-stakes situations.