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17603

Prophylactic Use of Intraumbilical Vein Oxytocin in the Management of Third Stage of Labor

Article

Last updated: 24 Dec 2024

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Abstract

Background: the third stage of labor is defined as the period of time between delivery of the fetus and delivery of the placenta. The most common complication accompanying this stage is postpartum hemorrhage (PPH) and prolonged third stage of labor owing to placenta retention and uterine atony are among the underlying cause of most cases of PPH. The duration of the third stage of labor is 5-15 min. Aim: to assess the efficacy of intraumbilical vein oxytocin in reducing duration of third stage of labour and the amount of blood loss. Patients and Methods: this study included 150 women attending the delivery room of Department of Obstetrics and Gynecology which was divided according to the inclusion and exclusion criteria into two groups: Group A (study group): include 75 cases which received 10 IU (1ml) of oxytocin in umbilical vein. Group B (control group): include 75 cases which received 1ml of saline in umbilical vein. Results: the time of third stage took seconds in each group with no statistically significant difference detected (p>0.05). Conclusion: intra-umbilical oxytocin is a useful alternative in patients where methylergometrine is contraindicated or in cases where intravenous fluids need to be restricted. For optimum effect, rapid injection immediately after clamping of the cord is essential.  

DOI

10.21608/ejhm.2018.17603

Keywords

intraumblical oxytocin, third stage of labour, Postpartum Hemorrhage

Authors

First Name

Mohamed Ahmed

Last Name

Mohamed

MiddleName

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Affiliation

Obstetrics and Gynecology department, Faculty of Medicine, Al-Azhar University

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Orcid

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First Name

Hassan I.

Last Name

Mohamed

MiddleName

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Affiliation

Obstetrics and Gynecology department, Faculty of Medicine, Al-Azhar University

Email

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City

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Orcid

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First Name

Osama

Last Name

Ali

MiddleName

-

Affiliation

Obstetrics and Gynecology department, Faculty of Medicine, Al-Azhar University

Email

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City

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Orcid

-

First Name

Ahmed

Last Name

Shabaan

MiddleName

-

Affiliation

Obstetrics and Gynecology department, Faculty of Medicine, Al-Azhar University

Email

-

City

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Orcid

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Volume

73

Article Issue

7

Related Issue

3621

Issue Date

2018-10-01

Receive Date

2018-10-25

Publish Date

2018-10-01

Page Start

7,141

Page End

7,145

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_17603.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=17603

Order

22

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Prophylactic Use of Intraumbilical Vein Oxytocin in the Management of Third Stage of Labor

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Article

Created At

22 Jan 2023