[Prevention postpartum hemorrhage].

INTRODUCTION

Postpartum hemorrhage remains a leading cause of maternal morbidity and mortality.

THE AIM: To evaluate the effectiveness of oxytocin into the umbilical vein for the prevention of postpartum hemorrhage.

MATERIALS AND

METHODS

A total of 105 women were included. Formed two groups. In group, I (n = 51) - as prevention of bleeding was administered oxytocin in the umbilical cord vein. In group, II (n = 54) 10 IU oxytocin was carried out by intramuscular injection in the thigh during the first minute after birth.

RESULTS

The duration of III stage of labor - 7,47 ± 1,39 minutes in group, I, 9,5 ± 1 minutes - in II (p>0,05). Pathology III stage of labor and the early postpartum period (placenta defect, tight attachment of the placenta, early hypo tonic bleeding) was observed in 9 (17,6%) in group, I and in 6 (11%) - II. Total blood loss during labor: in group, I - 57,19 ± 189 ml in the II - 221,6 ± 30,14 ml (p>0,05). In group, I, the mean hemoglobin content in peripheral blood before birth was 117 ± 2,55 g / l, in II - 123 ± 3,56 g / l (p>0,05). After birth, the average level of hemoglobin in the group, I was down to 112 ± 3,93 g / l, in II - up to 116 ± 3,46 g / l (p>0,05).

CONCLUSIONS

The administration of oxytocin in the vein of the umbilical cord as a means of prevention of bleeding can be used to reduce the duration of the III stage of labor and the amount of blood loss.