Comparative Study between Intravenous and Intraumbilical Oxytocin as Active Management of Third Stage in Elective and Emergency Caeserean Section
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Obstetric hemorrhage is a much dreaded and dangerous complication. Prevention of postpartum hemorrhage depends on proper management of second stage and third stage of labor. This study attempts to evaluate the effect of oxytocin instillation through umbilical vein in reducing the blood loss and time taken for placental separation in caesarean section. Methods: The study was an interventional study. Two hundred cases of caesarean section conducted at DR D. Y. PATIL HOSPITAL, PUNE were taken for the study. Patients undergoing caesarean section were divided into two groups randomly and allocation done on the basis of lottery system. Based on allocation one group was subjected to 20 units of intraumbilical oxytocin and other group received 20 units intra venous oxytocin drip in500ml normal saline. Observer was blind (blood loss in ml and time for expulsion of placenta was measured by other). 100 cases of elective and 100 cases of emergency caesarean section were included in the study. Amount of blood loss and time taken for placental separation were observed. Results: amount of blood loss and the time of placental separation was significantly less in the intraumbilical group compared to intravenous group. Conclusion: oxytocin is a gold standard oxytocic drug and newer route of administration of 20 units in 20 ml normal saline intraumbilically, immediately after the delivery of the baby in both elective and emergency caesarean section, reduce the duration of third stage of labor and reduces blood loss significantly.
Authors and Affiliations
Hemant G. Deshpande, Chandrakant S Madkar, Kavya K. Patel
Keywords
Related Articles
- EP ID EP241118
- DOI -
- Views 87
- Downloads 0
A comparative study of combination of intracervical foley's catheter and intravaginal misoprostol versus intravaginal misoprostol alone for induction of labour
Aims & Objective: The goal of induction of labour is to achieve vaginal delivery in a safe timely manner, to prevent unnecessary LSCS and for safe neonatal outcome. The main objective of this study is to compare combinat...
Uterine cavity assessment prior to in vitro fertilization: comparison of 3D transvaginal ultrasonography accuracy versus office hysteroscopy
Objective: To compare accuracy of 3-D transvaginal sonography (TVS) versus office hysteroscopy (OH) in the evaluation of uterine cavity abnormalities in infertile women undergoing IVF procedures. OH considered as gold st...
Comparison between extra amniotic saline infusion vs PGE2 for cervical ripening � a randomised trial
Background: Induction of labour is one of the most important interventions done in obstetric practice. To compare between extra amniotic saline infusion and PGE2 for cervical ripening. Extra amniotic saline infusion achi...
A prospective study on tumor like ovarian masses associated with pregnancy
Introduction: Pregnancy luteomas are non-neoplastic tumor like masses found in the ovary. These pregnancy luteomas spontaneously regress after delivery. Luteomas are usually asymptomatic and found incidentally during ces...
Rare case of hirschprung disease
Introduction: Hirschsprung disease is a developmental disorder characterized by absence of ganglia in the distal colon, resulting in a functional obstruction. Case Report: Here we are presenting a case report of Hirschsp...