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Indian Journal of Obstetrics and Gynecology Research


Comparative Study between Intravenous and Intraumbilical Oxytocin as Active Management of Third Stage in Elective and Emergency Caeserean Section


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Author Details: Hemant G. Deshpande, Chandrakant S Madkar, Kavya K. Patel

Volume : 3

Issue : 1

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 55

Article End Page : 58


Abstract

Introduction: Obstetric hemorrhage is a much dreaded and dangerous complication. Prevention of postpartum hemorrhage depends on proper management of second stage and third stage of labor. This study attempts to evaluate the effect of oxytocin instillation through umbilical vein in reducing the blood loss and time taken for placental separation in caesarean section.
Methods: The study was an interventional study. Two hundred cases of caesarean section conducted at DR D. Y. PATIL HOSPITAL, PUNE were taken for the study. Patients undergoing caesarean section were divided into two groups randomly and allocation done on the basis of lottery system. Based on allocation one group was subjected to 20 units of intraumbilical oxytocin and other group received 20 units intra venous oxytocin drip in500ml normal saline. Observer was blind (blood loss in ml and time for expulsion of placenta was measured by other). 100 cases of elective and 100 cases of emergency caesarean section were included in the study. Amount of blood loss and time taken for placental separation were observed.
Results: amount of blood loss and the time of placental separation was significantly less in the intraumbilical group compared to intravenous group.
Conclusion: oxytocin is a gold standard oxytocic drug and newer route of administration of 20 units in 20 ml normal saline intraumbilically, immediately after the delivery of the baby in both elective and emergency caesarean section, reduce the duration of third stage of labor and reduces blood loss significantly.

Key words:
Blood loss, caesarean section, intraumbilical, intravenous, Oxytocin, placental separation