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170465

Intra-umbilical Oxytocin versus Methyl Ergometrine in the Third Stage of Labor: A Comparative Study from an Egyptian Tertiary Care Hospital

Article

Last updated: 03 Jan 2025

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Abstract

Abstract
Recently, the active management of the third stage of labor has
become a routine practice. In this study we compared two different ecobolics which were oxytocin and methyl ergometrine
through intra-umbilical route. The method: the trial divided the
included pregnant full term (>37 weeks) women in two groups
randomly; one for 0.2 mg methyl ergometrine and the second 10
units oxytocin. The outcomes were on the short term; estimated
blood loss (EBL), the need to add another ecobolic, vomiting,
blood pressure changes and the duration of the third stage, and
the long-term outcomes were hemoglobin levels and the need
for surgical or medical uterine evacuation. The results: the mean
blood loss was 155± 50.45ml and 167± 45.76 in the methyl ergometrine and the oxytocin groups respectively. Three cases in
the oxytocin group (3%) required additional methyl ergometrine
while in the ergometrine group only one case was given an additional oxytocin (1%). No vomiting was reported in both groups
and there were trivial changes in blood pressure. In the oxytocin group, the third stage duration was average 3.03± 1.02 min
in comparison to 2.98± 1.54min in the ergometrine group. Neither did those cases who were injected methyl ergometrine have
significant changes in the hemoglobin levels nor did they need
uterine evacuation. However, only one case in the oxytocin side
required blood transfusion due to uterine atony. Conclusion: intra-umbilical methyl ergometrine should be considered as an effective safe ecobolic in the third stage of labor.

DOI

10.21608/egyfs.2021.170465

Keywords

Keywords: Third stage, ecobolics, Postpartum Hemorrhage, intra-umbilical, oxytocin, ergometrine

Authors

First Name

Ahmed

Last Name

El-Zayadi

MiddleName

A.

Affiliation

Department of Obstetrics and Gynecology, Mansoura University Hospitals, Elgomhouria St., City 35111, Dakahlia, Egypt

Email

ahmedelzayadi@yahoo.com

City

Mansoura

Orcid

-

Volume

25

Article Issue

2

Related Issue

24805

Issue Date

2021-05-01

Receive Date

2021-05-17

Publish Date

2021-05-01

Page Start

47

Page End

52

Print ISSN

1110-6352

Online ISSN

2536-9768

Article File

EGYFS_Volume 25_Issue 2_Pages 47-52.pdf

PDF . 1.5MB

Link

https://egyfs.journals.ekb.eg/article_170465.html

Detail API

https://egyfs.journals.ekb.eg/service?article_code=170465

Order

6

Type

Original Article

Type Code

319

Publication Type

Journal

Publication Title

The Egyptian Journal of Fertility of Sterility

Publication Link

https://egyfs.journals.ekb.eg/

MainTitle

Intra-umbilical Oxytocin versus Methyl Ergometrine in the Third Stage of Labor: A Comparative Study from an Egyptian Tertiary Care Hospital

Details

Type

Article

Created At

22 Jan 2023