The Effect of Intra-umbilical Vein Oxytocin in Postpartum Hemorrhage and Length of the Third Stage of Labor, Tabriz, 1995.

Abstract

Abstract: Objective: To compare IUVOX1 and normal salin solution for their effect in reducing the risk of postpartum hemorrhage and shorting the length of the third stage of labor. Design: Double blind, randomized clinical trial (RCT). Setting: Two Tabriz Medical University teaching hospitals. Subjects: 52 term pregnant women who expected a vaginal birth during the period of the trail whom didn't have any history of C.S, curettage, PIH, multiple pregnancy, third trimester bleeding. Informed consent was obtained. Main outcome Measures: Postpartum hemorrhage, (by Hb & HCT Change) third stage length, and Hypotension and Tachycardia after IUVOX. Results: 52 woman were randomly allocated to receive 20cc normal salin (n= 26, G1) or 20cc normal salin with 10 IU oxytocin (n= 26, G2) through intra umbilical vein. Rates of postpartum hemorrhage ( HB>1gr/100 or HCT>3%) were significantly low in G2. (Odd =0.22), (PPH+ rate was 19.3% in group 2 versus 53.4% in group 1) and length of the third stage of labor was shorter in IUVOX user. Discussion: It seems that use of IUVOX in management of the third stage of labor is a safe and cost effective method. And it can practically thought to midwifery students.