Efficacy of auricular acupressure combined with drugs in parturient woman with postpartum hemorrhage after secondary cesarean section

Abstract

Objective To investigate the efficacy of auricular acupressure combined with drugs in parturient woman with postpartum hemorrhage after secondary cesarean section. Methods A total of 75 parturient women with postpartum hemorrhage after secondary cesarean section,selected from January 2015 to April 2017,were randomly divided into 3 groups. Control group was given intrauterine injection of oxytocin 20 IU and intravenous infusion of oxytocin 20 IU, as well as sublingual carboprost 1 mg; combined group was given intrauterine injection of hemabate 250 μg on the basis of control group; auricular group was treated with comprehensive therapy (auricular point sticking on the basis of combined group). Postpartum 2 h, 24 h bleeding, postpartum 1 d, 3 d, 5 d height of fundus of uterus were recorded, and the initial time of lactation and postpartum 48 h lactation amount scores were observed. Results Postpartum 2 h, 24 h bleeding in combined group (152.3 ± 31.1 ml, 326.7 ± 80.2 ml) and auricular group (144.7 ± 35.6 ml, 266.5 ± 62.3 ml) were significantly less than those in control group (240.4 ± 52.5 ml, 374.9 ± 74.6 ml, P 0.05), and the postpartum 24 h hemorrhage in auricular group were significantly less than the combined group (P<0.05). Postpartum 1 d, 3 d, 5 d height of fundus of uterus in combined group (12.6 ± 1.5 cm, 10.8 ± 1.6 cm, 9.5 ± 1.8 cm) and auricular group (11.4 ± 1.7 cm, 9.5 ± 1.3 cm, 8.4 ± 1.5 cm) were significantly lower than those in control group (13.7 ± 1.9 cm, 11.7 ± 1.6 cm, 10.5 ± 1.4 cm, P<0.05), which in auricular group were significantly lower than those in combined group (P<0.05). The initial time of lactation in combined group (30.44 ± 3.64) h, and auricular group (26.36 ± 3.95) h were significantly less than those in control group (34.84 ± 6.02) h, (P<0.05), which in auricular group were significantly less than in combined group (P<0.05); the postpartum 48 h lactation amount scores in combined group (1.84 ± 0.75) and auricular group (2.12 ± 0.74) were significantly higher than those in control group (1.36 ± 0.81), (P<0.05), which in auricular group were significantly higher than those in combined group (P<0.05). Conclusions Comprehensive therapy could reduce postpartum hemorrhage, promote uterine involution and improve postpartum lactation in parturient woman with postpartum hemorrhage after secondary cesarean section. Key words: Cesarean section, repeat; Postpartum hemorrhage; Lactation; Auricular point sticking, semen vaccariae; Clinical study