Abstract
A total of 358 high-risk pregnant women were divided randomly into observation (A) and control (B) groups. Group A: 15ml 10% calcium gluconate was injected intravenously during the second stage of labor at full dilatation. And 10 U oxytocin was injected intramuscularly upon an immediate delivery of fetal anterior shoulder. Then 400 μg misoprostol was inserted into anus at 5 cm; Group B: 10 U oxytocin was injected intramuscularly upon an immediate delivery of fetal anterior shoulder. Then 400 μg misoprostol was inserted into anus at 5 cm. Statistically significant differences existed in the amount of bleeding loss after delivery for 2 h and 24 h (P 0.05). An intravenous infusion of calcium gluconate plus oxytocin and misoprostol after birth could reduce the rate of postpartum hemorrhage. Worthy of clinical application, this method has no effect upon Apgar score. Key words: Postpartum hemorrhage; Calcium gluconate
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