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Category: Volume 06 Issue 04 April 2018
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Title: A Comparative Study of the Efficacy of Intraumbilical Oxytocin and Intravenous Methyergometrine in the third Stage Bleeding

Authors: Dr Deepthy Balakrishnan, Dr P Leelamma

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i4.202

Abstract

Aim: To compare the efficacy of intraumbilical Oxytocin and intravenous Methyl ergometrine in active management of third stage of labour.

Material and Methods: This is a prospective study of 100 cases of singleton low risk pregnancies where 50 cases were allotted at random to group I which included patients who received intraumbilical Oxytocin 10 IU immediately after delivery of the baby. Injection Methylergometrine (0.2 mg) was given intravenously at the delivery of anterior shoulder of the baby to women in Group 2. Outcome measures were the duration of third stage, amount of blood loss, post-delivery hemoglobin and side effects in both groups.

Statistical analysis: The statistical constants like mean, standard deviation and percentage were calculated. The hypothesis formulated was tested statistically by using chi-square test.

Results: There was no statistically significant difference in mean duration of third stage of labour, mean blood loss, post-delivery hemoglobin, need for additional uterotonics or in side effects between the two groups.

Conclusion: Intraumbilical oxytocin is as effective as methylergometrine in reducing the duration of third stage of labour and blood loss and is useful in prevention of postpartum hemorrhage.

Keywords: Postpartum hemorrhage, Active management of third stage of labor, blood loss, duration of third stage.

Key message: Intraumbilical oxytocin can be used in active management of third stage especially in patients with no intravenous access and in high risk  patients.

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Corresponding Author

Dr Deepthy Balakrishnan