Postpartum Hemorrhage · Uterine Suction Tamponade
The FOCUS Protocol delivers uterine suction tamponade using equipment already in every delivery room — no proprietary device required. Published in AJOG. Used globally.
Designed to work in any delivery setting, from tertiary university hospitals to rural community facilities, across every resource level.
Proper patient selection is critical. Review these criteria before use.
Institutional Backbone
TRUST (Tamponade Research for Uterine Suction Technique) is a global, multi-committee initiative structured to be institution-independent. Its mission: eliminate the technology and access barrier between an evidence-based PPH intervention and the provider who needs it.
Visit trustpph.com →Peer-Reviewed Evidence
Step-by-Step
The full illustrated guide is available in 10 languages as translated web guides. The steps below are a clinical summary — register to access the full bedside reference.
Atonic uterus refractory to uterotonics and bimanual compression
16–24 Fr; balloon in lower uterine segment
Wall suction via standard tubing, 80 mmHg continuous no more than 525 mmHg
Quantify blood loss; monitor output through catheter
Continue uterotonics; consider administration of antibiotics
Turn off the suction and remove the balloon after ≥1 hour confirmed hemostasis
Register once to access all FOCUS materials. Select your language below.
Register once to access all FOCUS materials. You will be redirected to your selected language guide after registering.