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223144

Comparison between Oxytocin Bolus Versus Bolus Plus Infusion in Prevention of Postpartum Hemorrhage During Elective Cesarean Section

Article

Last updated: 03 Jan 2025

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Abstract

Background: The risk of postpartum hemorrhage, anemia, blood transfusions, hysterectomy, and even maternal mortality increases with a caesarean section. Hemorrhage control during and after Caesarean operation helps to reduce maternal mortality and morbidity. In most situations, uterine atony is linked to fatal obstetric hemorrhage. After a vaginal birth, oxytocin is commonly administered to reduce postpartum bleeding. Its usefulness in caesarean sections is still debatable. Objectives: This study aimed to evaluate the effectiveness of ten IU Intravenous oxytocin bolus in comparison with ten IU oxytocin bolus plus thirty IU oxytocin infusion on postpartum hemorrhage during elective cesarean section. Material and Method: At Maternity Hospital in Zagazig University Hospital. This study included 180 singleton pregnant women admitted for elective cesarean section in two groups. Patients in group A: received ten IU oxytocin intravenous bolus over one min and infusion of thirty IU oxytocin in 500 ml of 0.9 saline over four hours. While patients in group B: received ten IU oxytocin intravenous bolus over 1min and 500 ml of 0.9 saline over four hours. Results: We found that there was an insignificant difference in both groups according to the amount of blood loss.In Group (A) 10 (11.1%) patients needed blood transfusion while in Group (B) 11 (12.2%) patients needed blood transfusion, and this difference was insignificant P=0.6. Conclusion: After a caesarean delivery, an oxytocin infusion lowers the requirement for additional uterotonic drugs but has little effect on the overall incidence of significant obstetric haemorrhage.  

DOI

10.21608/ejhm.2022.223144

Keywords

obstetric, Caesarian Section, Postpartum, hemorrhage, oxytocin

Authors

First Name

Ahmed

Last Name

Selim

MiddleName

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Affiliation

Obstetrics and Gynecology Department, Al-Ahrar Teaching Hospital, Ash Sharqia, Egypt

Email

ahmedward10@gmail.com

City

Zagagzig

Orcid

-

First Name

Walid Abdallah

Last Name

Abdelsalam

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Amr Kamel

Last Name

El-fayomy

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

First Name

Anwar Ezzat

Last Name

Ismail

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

Volume

87

Article Issue

1

Related Issue

31467

Issue Date

2022-04-01

Receive Date

2022-03-06

Publish Date

2022-04-01

Page Start

1,137

Page End

1,139

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_223144.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=223144

Order

26

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

Comparison between Oxytocin Bolus Versus Bolus Plus Infusion in Prevention of Postpartum Hemorrhage During Elective Cesarean Section

Details

Type

Article

Created At

22 Jan 2023