Abstract
Postpartum haemorrhage (PPH) has been more common over the last three decades, accounting for 11% of all pregnancy-related deaths in the United States. In the third stage of labour, risk classification and active management are crucial preventative techniques. To avoid negative effects, a multidisciplinary approach to PPH patient care is required. To treat uterine atony, uterotonic medicines like oxytocin are used in combination with manipulative procedures like uterine massage and balloon tamponade. The amount of blood loss, duration of the third stage, need for MRP, incidence of PPH, need for repeated oxytocics, and its side effects were measured in Group I 100 women who were administered injection oxytocin 10 IU injection methergin 0.2 mg IV within one minute of the baby's delivery. The mean blood loss at vaginal delivery in Group I was 100-150 ml and in group I P value 0.027, which was statistically significant .In Group II was 160-200 ml with P value 0.036, which was statistically significant. The mean duration of third stag labour in Group 1 was 124.6 min and Group 2 was 144.8 min intravenous methergin is a better uterotonic when compared to intramuscular oxytocin to reduce the amount of blood loss at delivery and prevent complications like atonic PPH.
Highlights
In the third stage of labour, enough uterine retraction is required for placenta separation, control of third-stage haemorrhage, and prevention of PPH
Modern obstetrics strongly recommends careful use of oxytocics and active treatment of the third stage of labour, especially in women who are at risk of uterine atony
The use of oxytocics to abbreviate the third stage of labour has grown common, the type of oxytocin formulation, potency, and manner of delivery vary [6]
Summary
A common obstetrical complication, postpartum mortality that can be avoided. If left untreated, it haemorrhage is one of the primary causes of occurs abruptly, is often unsuspected, and can Sharmila; JPRI, 33(45A): 267-272, 2021; Article no.JPRI.72107 end in maternal mortality [1]. The most common cause of PPH is uterine atony. Due to atonic PPH, a protracted third stage of labour is frequently associated with an increased risk of maternal mortality and morbidity [4,5]. Modern obstetrics strongly recommends careful use of oxytocics and active treatment of the third stage of labour, especially in women who are at risk of uterine atony. The use of oxytocics to abbreviate the third stage of labour has grown common, the type of oxytocin formulation, potency, and manner of delivery vary [6]
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