الفهرس 
Normal LaborOnly 14 pages are availabe for public view
 |  | from | 113 |  |  |
| | | from | 113 | | |
Abstract
Introduction Postpartum hemorrhage is a major cause of maternal death worldwide, and is the cause of approximately half of all maternal deaths in developing countries and even in many developed countries, the postpartum hemorrhage is one of the major causes of admission of mothers to intensive care units.
In countries with poor health services, the impact of bleeding in maternal mortality is also higher than this statistics. The Delivery hemorrhage is the cause of 12 % of all maternal mortalities and occurs in its highest rate after delivery.
Aim of the Work: This study aims ta asses the efficacy of oxytocin in reducing duration of third stage of labour.
Mythology: Type of Study : Randomized controlled study. Study Settings : Site : Ain Shams University Maternity Hospital. Study Duration: 6 months (from January 2015 – June 2016 )
Results: This study included 150 women attending the delivery room of Department of Obstetrics and Gynecology which was divided according to the following 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).
Conclusions: 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. Hence patients requiring cord blood collection, cord segment for blood gases etc, involved a time lapse and were not included in our study. Primigravidas and multigravidas requiring epsiotomy showed fluctuations in the results due to variations in the blood loss . However, intra-umbilical injections can be used in both these groups.
Keywords: Prophylactic, Intraumbilical Vein Oxytocin, Management, Labor