• Friday, Oct 23, 2020
  • Last Update : 08:23 am

The Bangladeshi doctor whose invention saves millions of new mothers

  • Published at 12:54 pm August 9th, 2017
  • Last updated at 01:41 am August 10th, 2017
The Bangladeshi doctor whose invention saves millions of new mothers
In 2000, Dr Sayeba Akhter was chair of Dhaka Medical College Hospital’s (DMCH) Gynaecology and Obstetrics Department when she noticed that many new mothers were dying from excessive bleeding after giving birth. Death from blood loss - also known as postpartum haemorrhage - was the primary cause of the high maternal mortality rate in Bangladesh 30-40 years ago. Many women also had to have their uterus taken out to prevent bleeding following childbirth, denying them the opportunity of having more children in future. Bypassing otherwise expensive medical treatment, Dr Sayeba was able to discover a simple and cheap solution to the bleeding which is now known worldwide as ‘condom catheter tamponade’, or simply ‘Sayeba’s method’.   [arve url="https://www.youtube.com/watch?v=-NAjgtMwoZ8"/] Speaking to the Bangla Tribune about her discovery on August 6, Dr Sayeba explained how a traumatic experience would change the course of medicine: “One day, two women died right in front of me from bleeding out after giving birth. Then I thought about all the children in the village who played with balloons, and I started wondering if I could stop the bleeding by inserting balloons filled with water inside the uterus. The first step to stop bleeding is to apply pressure on the uterus. But it’s impossible to apply pressure during bleeding. “The very next day, I went to the hospital and saw that doctors were forced to cut out a woman’s uterus to prevent bleeding. I stopped them and told them to not cut the uterus out just yet. I asked for some time, because the primary way to stop bleeding is to apply pressure. If I could somehow apply pressure to the uterus, I could stop the bleeding. That was the first time I used the ‘condom catheter tamponade’, and the bleeding stopped within 10 minutes.” Dr Sayeba then applied the same procedure to 23 other women. They all recovered and were able to return home. Since then, her method has saved the lives of millions of new mothers worldwide. Dr Sayeba explained how her pioneering method works by using a catheter, a condom, a little bit of string, a saline set and a saline solution: “When there are cuts on an arm or a leg, applying pressure stops the bleeding and this method works the same way. The condom is attached to one side of the catheter with the string, and the other side is inserted into the saline solution with the saline set. The condom is then inserted into the uterus and inflated with the saline. The inflated condom then applies pressure on the uterus, stopping the bleeding.” Dr Sayeba said that 31% of all maternal deaths in Bangladesh used to be from postpartum haemorrhage, but that number has reduced dramatically because of her discovery. “The entire apparatus only costs Tk100, so it can be used in any health complex or community clinic. If this method is used, we can save lots of new mothers, and we do not have to take out their uterus,” she said. Dr Saqlain Rasel, a vascular surgeon at the Ibrahim Cardiac Medical College and Hospital (BIRDEM), was interning as an assistant to Dr Sayeba in 2003-2004. He said Dr Sayeba’s method was published in the 2003 Medscape medical journal, as a research paper in the International Gyne and Obs journal, and as an article in the British Medical Journal Review. “It came to be known worldwide as ‘Sayeba’s method,’” he said. “(It) can save the lives of mothers around the world with only 99 cents, or Tk100. The method is being used in Bangladesh, India, Nepal, Sri Lanka and Canada.” Dr Saqlain Rasel also said that Dr Sayeba was jointly awarded for her discovery of this method and the fistula by England’s Royal College. However, the method has recently been wrongly attributed to a midwife in Kenya by a BBC News segment, in what experts have called “a gross mistake by the media”. “A midwife in Kenya learned how to use this method (and) the international media has credited her with the discovery,” Dr Saqlain. “It is sad that such a revolutionary medical discovery by a Bangladeshi doctor is being overshadowed like this.” After the method was published in multiple international journals, doctors from multiple countries learned the method from Dr Sayeba. There are many FCPS dissertations, MS and Ph.D theses on this method. Mosharraf Sultana, who worked with Dr Sayeba in the past, outlined the wealth of research on the method and told the Bangla Tribune: “It is unfortunate that the achievements of our doctors are published in international journals and other countries get the credit for it.” Dr Sayeba Akhter is currently in Indonesia, where she is providing training at an international seminar on the method named after her.   This story was originally published in Bangla Tribune
99
59
blogger sharing button blogger
buffer sharing button buffer
diaspora sharing button diaspora
digg sharing button digg
douban sharing button douban
email sharing button email
evernote sharing button evernote
flipboard sharing button flipboard
pocket sharing button getpocket
github sharing button github
gmail sharing button gmail
googlebookmarks sharing button googlebookmarks
hackernews sharing button hackernews
instapaper sharing button instapaper
line sharing button line
linkedin sharing button linkedin
livejournal sharing button livejournal
mailru sharing button mailru
medium sharing button medium
meneame sharing button meneame
messenger sharing button messenger
odnoklassniki sharing button odnoklassniki
pinterest sharing button pinterest
print sharing button print
qzone sharing button qzone
reddit sharing button reddit
refind sharing button refind
renren sharing button renren
skype sharing button skype
snapchat sharing button snapchat
surfingbird sharing button surfingbird
telegram sharing button telegram
tumblr sharing button tumblr
twitter sharing button twitter
vk sharing button vk
wechat sharing button wechat
weibo sharing button weibo
whatsapp sharing button whatsapp
wordpress sharing button wordpress
xing sharing button xing
yahoomail sharing button yahoomail