Uterine massage as part of active management of the third stage of labour for preventing postpartum haemorrhage during vaginal delivery: a systematic review and meta‐analysis of randomised trials

Saccone, Gabriele; Ciardulli, Andrea; Abdel‐Aleem, Hany; Hofmeyr, G Justus; Berghella, Vincenzo

doi:10.1111/1471-0528.14923

Cited by 27 publications

(13 citation statements)

References 15 publications

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“…Different strategies have been published in the literature to prevent PPH. Active management of the third stage of labor consists of a group of interventions, such as administration of prophylactic oxytocin after birth and uterine massage (2,5,17). Blood loss at birth affects the hemogram levels.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Effect of Three Different Methods in Reducing Primary Postpartum Hemorrhage

Bilgin

Kömürcü

2020

Clinical and Experimental Health Sciences

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Objective: The aim of this study was to determine the effects of three different methods in reducing primary postpartum hemorrhage. Methods: The study was carried out in Istanbul/Turkey with 150 people at a maternity hospital. The participants were assigned to the external circular fundus massage (ECFM) (n=50), external bimanual fundus compression (EBFC) (n=50) and control (C) (n=50) groups with the simple randomization method. The women in the experiment groups of external circular fundus massage or external bimanual uterus fundus compression received intervention for one hour in the postpartum period. At the 6th postpartum hour, the hemogram values and total lochia amount of all women were measured. Results: The mean ± standard deviation (SD) age of the women was 24.77±4.40 years, 63.3% were having their first birth, and 47.3% gained weight between 11 and 16 kg in their pregnancy. There was no significant difference between the groups in terms of the mean ± SD Hb at the 6th postpartum hour (ECFM group=11.5±1.1; EBFC Group =11.7±3.6; C group =11.4±1.0 g /dL, F= 0.371, p = 0.691). In comparison to the ECFM and C groups, the 2nd postpartum hour visual analog scale (VAS) score of the EBFC group was found to be significantly lower (p<0.05). Conclusion: The hemoglobin and thrombocyte levels at the 6th postpartum hour were higher in the EBFC group in comparison to the other groups, while the hematocrit value decreased more. Since EBFC is effective in reducing postpartum pain, it is recommended to be applied especially to women with postpartum pain.

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Section: Discussionmentioning

confidence: 99%

Comparison of the Effect of Three Different Methods in Reducing Primary Postpartum Hemorrhage

Bilgin

Kömürcü

2020

Clinical and Experimental Health Sciences

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“…Although some contradictory studies came up with findings that uterine massage has less effect in PPH management. 5 Uterine packing in not recommended in the management of PPH, but it was already done in patient because she delivered in a low resource setting. So the pack was removed and vaginal tear was immediately sutured.…”

Section: Discussionmentioning

confidence: 99%

Atonic PPH in a referred case: Keys to manage

Gaur¹

2020

IJOGR

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According to WHO, primary Postpartum hemorrhage is commonly defined as blood loss more than 500 ml after normal vaginal delivery within first 24 hours. A 28 years old multigravida woman with P3 L3 came to the obstetrics department with a history of heavy bleeding per vagina soon after normal vaginal delivery. She was diagnosed as case of primary PPH (Atonic PPH) with severe anemia at post-partum day two of vaginal delivery. Patient’s routine and specific investigations were sent after admission. She was treated with drugs like uterotonics, antibiotics, bimanual massage, balloon tamponade and blood transfusion. She was discharged in a stable condition. Early detection and prompt treatment are the keys to reduced maternal mortality ratio by managing postpartum haemorrhage.

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“…The post-partum bleeding was measured by weighing the soaked pads on an electronic scale and the amount was recorded in grams after subtracting the weight of dry pads and then converted to volume (in ml) by dividing 1.06 (blood density) for the analysis. [18] Statistical Methods:…”

Section: Methodsmentioning

confidence: 99%

Assessment on the Effect of Active Management of Third Stage of Labour With and Without Uterine Massage on Maternal Outcome among Postnatal Mothers

Kundu

Jana

2021

Int J Res Rev

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The most common cause of maternal death worldwide is postpartum hemorrhage (PPH) and Active Management of Third Stage of Labour (AMTSL) is the most important prophylactic intervention for prevention of PPH. A study was undertaken to assess the effect of AMTSL with and without uterine massage on maternal outcome among postnatal mothers in a selected hospital, WB. In this quasi-experimental study, Total 60 (Experimental Group-30, Control Group-30) postnatal mothers who undergone spontaneous vaginal delivery were selected by non-probability purposive sampling technique followed by randomization. The uterine massage is applied for 1 min immediately after placental delivery to 2 hours of postpartum at every 15 mins interval. The results revealed that there was no statistically significant difference of mean amount of postpartum bleeding between experimental and control group at 1st hour, 2nd hour, 24 hours, and 48 hours [t1= 1.06, t2= 1.52, t3=0.47, t4=0.26 at df (58), p>0.05]. The general condition (BP, Pulse, Respiration) after 1st hour, 2nd hour, 24 hours and 48 hours were comparable and statistically not significant between the two groups. There was no significant association between amount of postpartum bleeding and obstetrical parameters like parity, gravida, POG, presence of episiotomy, birth weight, time of placental delivery, presence of tear and time of initiation of breast feeding etc. for both groups. Based on the results of the current study, it can be concluded that the mothers who received the uterine massage along with AMTSL get no additional benefit as compared to control group. Keywords: Active management of third stage of labour (AMTSL); Uterine massage; Maternal outcome; Postnatal mother.

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Uterine massage as part of active management of the third stage of labour for preventing postpartum haemorrhage during vaginal delivery: a systematic review and meta‐analysis of randomised trials

Cited by 27 publications

References 15 publications

Comparison of the Effect of Three Different Methods in Reducing Primary Postpartum Hemorrhage

Comparison of the Effect of Three Different Methods in Reducing Primary Postpartum Hemorrhage

Atonic PPH in a referred case: Keys to manage

Assessment on the Effect of Active Management of Third Stage of Labour With and Without Uterine Massage on Maternal Outcome among Postnatal Mothers

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