Blog ini mempamerkan maklumat kesihatan berkenaan rawatan terkini masalah-masalah sakitpuan, ketidaksuburan, endometriosis, PCOS dan lain-lain. Ia khas buat wanita yang mengalami gangguan kesihatan ataupun yang inginkan penerangan lanjut berkenaan penyakit wanita.

Thursday, March 22, 2012

Uterotonics and Postpartum Haemorrhage

Postpartum hemorrhage is an important cause of maternal mortality in developing countries, especially Africa and Asia. Active management of the third stage of labor consists of the use of oxytocin soon after delivery of the baby, controlled cord traction, and delayed clamping and cutting of the cord until the deliverer is ready to apply traction.
In a study published recently in The Lancet, Gulmezoglu et al showed that controlled cord traction may be omitted from the management of the third stage of labor without a significant increase in the risk for severe hemorrhage. Thus, the main component of active management is the uterotonic and it is the key intervention that will prevent excessive bleeding after childbirth.
Despite this, controlled cord traction is safe and its use can be continued in settings in which it is routinely practiced.

Hanifullah Khan
22 March 2012

Active management of the third stage of labour with and without controlled cord traction: a randomised, controlled, non-inferiority trial. Gulmezoglu AM, Lumbiganon P, Landoulsi S et al. The Lancet - 6 March 2012 DOI: 10.1016/S0140-6736(12)60206-2.

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