Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
A frequent and potentially fatal labour complication is postpartum haemorrhage. More blood is lost during a caesarean section than during a vaginal delivery. Despite this, both in affluent and developing nations, there is a tendency towards rising caesarean section rates, which raises the risk of morbidity and mortality, particularly in anaemic women. The main goal was to determine how effective this approach was at preventing PPH. Our secondary goal was to assess how much surgical interference how long the procedure took and whether a uterotonic drug was necessary. The department of gynaecology and obstetrics at Bankura sammilani medical college in bankura, west bengal, India conducted this prospective case control study of PPH in caesarean section from October 2021 to March 2023. About 610 instances in the study group and 606 cases in the control group, totaling 1216 mothers who were scheduled for caesarean sections from the labour room and prenatal ward were included in this study. Mean maternal age was 23.08±3.67 years in study group and 23.12±4.02 years in control group. Prime para and multi para was 304 (49.83%) and 1306 (50.16%) vs. 324 (53.47%) and 282 (46.53%) in study and control group, respectively. Indication of emergency and non emergency cesarean section (CS) were 304 (49.84%) and 306 (50.16%) vs. 316 (52.15%) and 290 (47.85%) in study group and control group, respectively. Uterine contraction felt definitely in 578 (94.75%) cases and 510 (84.16%) cases and not felt definitely in 32 (5.25%) cases and 96 (15.84%) cases. In study group there is no requirement of relaparotomy but in control group 4 cases needed relaparotomy. In study group, average and more than average blood loss was 560 (91.80%) and 50 (8.20%) cases and in control group it was 440 (72.61%) and 166 (27.39%) cases, respectively. Oxytocin and additional uterotonic agent needed in 574 (94.10%) and 36 (5.90%) vs. 468 (77.23%) and 138 (22.77%) cases. In addition to the standard procedures in AMTSL, the placement of a fan‐shaped hand inside the uterine cavity during caesarean delivery following the delivery of the foetus would improve the confirmation of uterine contraction more specifically. The result is a reduction in maternal morbidity and death as well as the prevention of atonic PPH. It also limits or reduces the need for extra uterotonic agents, operating time and operative interference. A larger, randomised control trial is necessary for further analysis.
How to cite this article:
Sannyasi Charan Barman, Pratima Garain, Malay Kumar Nandy, Kajal Kumar Patra and Kishore P. Madhwani. A Simple Step to Minimize Atonic Postpartum Haemorrhage During Caesarian Section.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.959.965
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.959.965