The TRUST Collaborative

Teaching and Research on Uterine Suction Tamponade.

A simple, physiologic, rapid technique for postpartum hemorrhage (PPH) control. TRUST unites clinicians, researchers, and educators advancing UST worldwide.

Join the Collaborative View the Evidence →
30+
Publications
5
Devices Catalogued
2
Protocol Sites
Our Mission

A global, open-access collaborative for UST

UST uses a device connected to suction to manage uterine bleeding after vaginal delivery, cesarean section, miscarriage, or abortion. Both FDA-cleared and off-label devices are available — making implementation practical across hospital and clinic settings.

Teaching Research Global Health

What we do

Advancing uterine suction tamponade through evidence, education, and equity.

  • Technology Access
  • Education & Training
  • Research Coordination
  • Governmental Relations

Devices

Five devices used for uterine suction tamponade

All Devices →
JADA System
FDA-Cleared
JADA System
 Bakri Balloon
Off-Label
Bakri Balloon
 Gastric tube
STUT
Gastric Tube
 Foley catheter
FOCUS
Foley Catheter
 Suction retraction cannula
Off-Label
Suction Cannula

Clinical context

Considerations & Contraindications

UST is best used in a controlled setting after ensuring no contraindications exist and the underlying cause of bleeding is compatible with tamponade therapy.

Key Considerations

When UST may be appropriate

Atonic uterus refractory to uterotonics
Bleeding continues despite first-line pharmacologic management and bimanual compression.
Bleeding compatible with tamponade
Source localised to uterine cavity rather than trauma or extra-uterine pathology.
Controlled clinical setting
Monitoring, anaesthesia support, and escalation pathways available.

Contraindications

Where UST should not be used

Uterine rupture
Placenta accreta spectrum
Traumatic bleeding
Coagulopathy-related bleeding
Active uterine infection
Retained placental tissue
Vaginal hemorrhage from non-uterine sources

Evidence

Peer-reviewed publications on UST

The TRUST registry tracks every published study on uterine suction tamponade. Browse the full filterable library.

View All Publications →
American Journal of Obstetrics and Gynecology · 2026
Vacuum-Induced Tamponade Using Urological Catheters for Postpartum Hemorrhage
Ranieri E, Kalimeris S, Ochsenbein N, Haslinger C.
doi:10.1016/j.ajog.2026.04.026
American Journal of Obstetrics and Gynecology · 2025
Hemorrhage Management using a Foley Catheter for Uterine Suction
Jackson FI, Dilena NJ, Abelman SH, Blitz MJ, Gerber S.
doi:10.1016/j.ajog.2025.06.061

Help us shape the future of UST.

TRUST is actively recruiting clinicians, researchers, educators, and global-health practitioners to join our committees. Whether you have a case to contribute, a study you’d like to run, or a curriculum to share — we’d like to hear from you.

MFMsOB/GYNsMidwivesResearchersEducatorsGlobal Health
Open the Application Form →
What we ask
A short intake form — your name, role, institution,
and how you’d like to contribute. We follow up within
one week.