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THE USE OF INTRA-UMBILICAL OXYTOCINE FOR THE ‎MANAGEMENT OF RETAINED PLACENTA ‎

Mohsen H Al-Sabbak --- Faiz A Al-Waeely --- Edward Z Khosho --- Ibtisam Shiaa

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2004 Volume: 10 Issue: 2 Pages: 99-108
Publisher: Basrah University جامعة البصرة

Abstract

Postpartum haemorrhage & retained placenta are the most common serious abnormalities encountered ‎during the third stage of labour, the aim of this study was to compare three different management ‎protocols for retained placenta. This prospective study was carried out in Basrah Maternity & Children ‎hospital during the period from march 2001 till march 2002. A total of 75 women with retained placenta ‎after active management of third stage of labour were included, they were divided into three groups , the ‎first group received oxytocin and normal saline injected in the umbilical vein, the second received ‎normal saline and the third was the expectant group. In 56% of women in the oxytocin group, placental ‎expulsion occurred within 45 minutes compared to 16% in the expectant group and 24% in the saline ‎group respectively. Also 44% of women in the oxytocin group needed manual removal of the placenta ‎compared to 84% in the expectant and 76% in the saline group. We conclude that intraumbilical vein ‎injection in cases with retained placenta seems simple and promising technique to reduce the incidence ‎of potentially morbid procedures. ‎