Quandalle A, Ghesquière L, Kyheng M, et al. - Via performing a retrospective, monocentric study of cases of uterotonic treatment failure with severe postpartum hemorrhage following vaginal delivery between January 2005 and June 2018, researchers sought to ascertain the impact of intrauterine balloon tamponade as a second-line technique before resorting to emergency peripartum hysterectomy in these cases. Among the 55,776 identified women who gave birth vaginally during the study period, severe postpartum hemorrhage with medical treatment failure occurred in 161 (0.3%) patients (78 during the period prior to intrauterine balloon tamponade use, and 83 after intrauterine balloon tamponade use was initiated). Failure rate of 21.9% (n = 18) was reported for the intrauterine balloon tamponade. Findings suggest no significant overall reduction in emergency peripartum hysterectomy following implementation of intrauterine balloon tamponade, however, there was a reduction in these cases when conservative surgical treatment was followed by intrauterine balloon tamponade.