A study of effect of intra umbilical oxytocin in active management of third stage of labour
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Date
2023-02
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Background: Postpartum haemorrhage is a single major and leading cause of maternal morbidity and mortality. PPH is the loss of more than 500 ml blood following vaginal delivery or 1000 ml blood following caesarean section. India has a maternal mortality ratio of 167 per 1 lakh live births. The most common cause of maternal mortality is haemorrhage which accounts for 25-30% of maternal mortality of which PPH is a significant cause.Methods: 200 patients were included in this prospective observational study and divided into two groups, group A, underwent only active management of third stage of labour and group B received intra umbilical oxytocin administration in addition to AMTSL. The maternal and neonatal outcome was observed between the two and the difference was noted.Results: Mean duration of third stage of labour of group A patients was 3.89±0.89 minutes and Mean blood loss was 386±85.30 ml and that of group B patients was 1.96±0.68 minutes and 235±72.99 ml respectively. These were found to be statistically significant among all the other parameters.Conclusions: The duration of third stage of labour and the amount of postpartum blood loss was significantly less when intra umbilical injection of oxytocin was used in addition to AMTSL. So, to conclude intra umbilical vein oxytocin injection should be used routinely in addition to AMTSL in order to prevent PPH.
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Keywords
PPH, Oxytocin, Third stage of labour
Citation
Desai Archish I., Parikh Sonam K., Patel Nidhi J., Patel Vishwa T., Baldaniya Amit K., Agarwal Himanshi D. . A study of effect of intra umbilical oxytocin in active management of third stage of labour . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2023 Feb; 12(2): 432-436