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Uterine massage to reduce postpartum hemorrhage after vaginal delivery
- Source :
- International Journal of Gynecology & Obstetrics; Oct2010, Vol. 111 Issue 1, p32-36, 5p
- Publication Year :
- 2010
-
Abstract
- <bold>Objective: </bold>To determine the effectiveness of sustained uterine massage started before delivery of the placenta in reducing postpartum hemorrhage.<bold>Methods: </bold>A randomized controlled trial conducted in Egypt and South Africa between September 2006 and February 2009. A total of 1964 pregnant women were randomly allocated to 1 of 3 treatment groups: intramuscular oxytocin, sustained uterine massage, or both treatments. Blood loss within 30 minutes of delivery was recorded.<bold>Results: </bold>The incidence of blood loss of 300 mL or more within 30 minutes of delivery was significantly higher in the massage group than in the massage plus oxytocin (RR 1.88; 95% CI, 1.29-2.74 in Assiut, and RR 1.3; 95% CI, 1.00-1.68 in SA) and the oxytocin only group (RR 1.7; 95% CI, 1.11-2.61 in Assiut, and RR 2.24; 95% CI, 1.54-3.27 in SA). In both centers, use of additional uterotonics was significantly higher in the uterine massage group compared with the other 2 groups.<bold>Conclusion: </bold>Uterine massage was less effective than oxytocin for reducing blood loss after delivery. When oxytocin was used, there was no additional benefit from uterine massage. The effectiveness of uterine massage in the absence of oxytocin was not studied. ACTRN: 12609000372280. [ABSTRACT FROM AUTHOR]
- Subjects :
- UTERINE hemorrhage
VAGINA
MASSAGE
DELIVERY (Obstetrics)
MATERNAL mortality
OXYTOCIN
LABOR (Obstetrics)
TREATMENT effectiveness
PREVENTION
HEMORRHAGE prevention
UTERUS physiology
COMPARATIVE studies
HEMORRHAGE
MASSAGE therapy
RESEARCH methodology
MEDICAL cooperation
PUERPERAL disorders
RESEARCH
EVALUATION research
RANDOMIZED controlled trials
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 00207292
- Volume :
- 111
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal of Gynecology & Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 53704817
- Full Text :
- https://doi.org/10.1016/j.ijgo.2010.04.036