Bimanual examination for clot evacuation: a retrospective cohort study of women with postpartum haemorrhage after vaginal delivery

Koh, Pui Ru; Filippo, Daria Di; Bisits, Andrew; Welsh, A.W.

doi:10.1186/s12884-020-02916-w

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…Pencegahan awal yang dapat dilakukan pada perdarahan pasca lahir yaitu dengan penggunaan uterotonika pada persalinan kala III dan telah menjadi standar intervensi di seluruh dunia (Koh et al, 2020). Pemilihan uterotonika dalam penanganan perdarahan pasca lahir harus disesuaikan dengan cara pemberian dan dosis pemberian (Escobar et al, 2017).…”

Section: Pendahuluanunclassified

Literature Review: Perbedaan Pemberian Oksitosin Profilaksis Secara Intravena dan Intramuskular Terhadap Kejadian Perdarahan Postpartum

Cahyaningtyas

Rospia

Agustina³

2023

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Postpartum Haemorrhage is a condition of blood loss of more than 500 cc that occurs within 24 hours after delivery. Postpartum hemorrhage is a significant cause of morbidity and mortality in childbirth. Postpartum Haemorrhage occurs in about 1% to 6% of all deliveries. Uterine atony, the leading cause of primary postpartum hemorrhage, accounts for 70% to 80% of all bleeding. Early prevention in postpartum hemorrhage cases is the usage of uterotonics in the third stage of labor which has become the standard of intervention worldwide. The choice of uterotonic in managing postpartum hemorrhage should be adjusted to the administration and dosage. This Study aims to analyze the difference in prophylactic administration of oxytocin injected in intramuscular and intravenous during postpartum hemorrhage. Data were searched using PICO, articles were selected using PRISMA, and critical appraisal. There is decreased postpartum hemorrhage compared to IM oxytocin administration. Intra Vena oxytocin administration could reduce the incidence of severe postpartum hemorrhage and prevent blood transfusions compared to IM oxytocin administration in the third stage of labor in postpartum hemorrhage. However, there was no significant difference in hemoglobin changes. The side effects caused by intravenous administration are still manageable compared to intramuscular administration. Intravenous oxytocin prevented postpartum hemorrhage in stage III more effectively than intramuscular administration. The side effects that emerged in the two groups of intravenous and intramuscular administration were not significantly different and were still within mild limits. The administration of oxytocin in preventing postpartum hemorrhage in the third stage of labor has become a procedure and recommendation of health organizations.

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Section: Pendahuluanunclassified

Literature Review: Perbedaan Pemberian Oksitosin Profilaksis Secara Intravena dan Intramuskular Terhadap Kejadian Perdarahan Postpartum

Cahyaningtyas

Rospia

Agustina³

2023

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The Usability, Acceptability, and Performance of the Maternal PPH Wrap Device in Controlling Postpartum Hemorrhage: A Pilot Study at Kawempe National Referral Hospital, Uganda

Owino

Etuket

Muhimbise

et al. 2022

IEEE J. Transl. Eng. Health Med.

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Timely intervention for atonic postpartum hemorrhage (PPH) significantly reduces the incidence of death from PPH. However, technological solutions geared towards this have not received substantial adoption by the health community in sub-Saharan Africa due to limiting factors such as; cumbersome application, being costly, requiring skilled personnel, needing cold chain storage, and the associated side effects. This pilot study aimed to assess the usability, acceptability, and performance of the Maternal PPH Wrap, a first-aid device designed to control atonic PPH after childbirth. Forty subjects were recruited for the study. Twenty of these were women who sought maternity care at Kawempe National Referral Hospital (KNRH). The women wore the device for 120 minutes while their vitals were recorded every 20 minutes. The device's acceptability and performance were evaluated on the women. The remaining twenty were licensed midwives working at KNRH. The device's usability was assessed on all the midwives recruited for the pilot study using a usability questionnaire. There was a reduction in blood loss associated with the use of the Maternal PPH Wrap alongside the standard of care as opposed to the standard of care alone. This reduction in blood loss was detected between the 80 th and 120 th minute of the device application onto the mothers. The acceptability and usability scores from the study participants also scored favorably. The Maternal PPH Wrap demonstrated potential to control PPH and product satisfaction, and these results will support the device's redesign leading into a Phase I clinical trial.

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Bimanual examination for clot evacuation: a retrospective cohort study of women with postpartum haemorrhage after vaginal delivery

Cited by 2 publications

References 25 publications

Literature Review: Perbedaan Pemberian Oksitosin Profilaksis Secara Intravena dan Intramuskular Terhadap Kejadian Perdarahan Postpartum

Literature Review: Perbedaan Pemberian Oksitosin Profilaksis Secara Intravena dan Intramuskular Terhadap Kejadian Perdarahan Postpartum

The Usability, Acceptability, and Performance of the Maternal PPH Wrap Device in Controlling Postpartum Hemorrhage: A Pilot Study at Kawempe National Referral Hospital, Uganda

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