Uterine Massage to Reduce Blood Loss After Vaginal Delivery

Chen, Meng; Chang, Qing; Duan, Tony; He, Jing; Zhang, Li; Liu, Xinghui

doi:10.1097/aog.0b013e3182999085

Cited by 23 publications

(16 citation statements)

References 11 publications

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“…The flow of study identification is shown in Figure S1. Three RCTs, including 3842 singleton gestations, were found comparing uterine massage, in addition to oxytocin and controlled cord traction, versus no uterine massage . Statistical heterogeneity within the studies was high with I 2 = 73% for the primary outcome.…”

Section: Resultsmentioning

confidence: 99%

“…Different strategies have been published to prevent PPH . Active management of the third stage of labour consists of a group of interventions, including administration of prophylactic oxytocin at or after the delivery, cord clamping and cutting, controlled cord traction to deliver the placenta, and uterine massage . These interventions should be evaluated individually for efficacy.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Ciardulli

Abdel‐Aleem

et al. 2017

BJOG

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Ciardulli

Abdel‐Aleem

et al. 2017

BJOG

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“…A recent Cochrane review [1] summarized the benefits and risks of AMTSL and concluded that although there is a lack of high-quality evidence, AMTSL reduced the risk of hemorrhaging > 1,000 mL at the time of birth in a population of women with a mixed risk of excessive bleeding. Regarding cord traction [2–4] and uterine massage [5, 6], the effects of reducing maternal blood loss have been controversial. In addition, the most common cause of PPH is uterine atony, which complicates 1 in 20 deliveries and is responsible for 80% of PPH cases [7].…”

Section: Introductionmentioning

confidence: 99%

The Routine Use of Prophylactic Oxytocin in the Third Stage of Labor to Reduce Maternal Blood Loss

Kuzume

Sugimi

Suga

et al. 2017

Journal of Pregnancy

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Objective To demonstrate whether or not the routine use of prophylactic oxytocin (RUPO) reduces the blood loss and incidence of postpartum hemorrhaging (PPH). Methods We used a prospective cohort and a historical control in a tertiary perinatal care center in Japan. In the prospective cohort, we introduced RUPO in April 2012 by infusing 10 units of oxytocin per 500 mL of normal saline into a venous line after anterior shoulder delivery (RUPO group). In the historical control, oxytocin was administered via a case-selective approach (historical control group). We included completed singleton vaginal deliveries and compared the volume of blood loss and the incidence of PPH between the groups. Results We found a significantly lower volume of blood loss (520 ± 327 versus 641 ± 375 mL, p < 0.001) and a lower incidence of PPH (6.1% versus 14.0%, p < 0.001) in the RUPO group (n = 392) than in the control group (n = 407). Although the oxytocin dose was significantly higher in the RUPO group (12.8 ± 6.7 versus 10.1 ± 8.0 IU, p < 0.001), no adverse outcomes were observed to be associated with RUPO. Conclusions The introduction of RUPO significantly reduced blood loss and the incidence of PPH during completed singleton vaginal deliveries without an increase in adverse effects.

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“…1 The raised question is whether those women needing therapeutic oxytocics in our study should have been randomized to therapeutic oxytocic alone or to uterine massage plus therapeutic oxytocic. In Reply: We thank Dr. Fröhlich for his interest in our recent publication pertaining to the effectiveness of routine uterine massage to reduce blood loss after vaginal delivery.…”

mentioning

confidence: 99%

“…I read with interest the article by Chen et al 1 Postpartum hemorrhage is indeed a serious complication of labor all over the world. Postpartum hemorrhage needs to be dealt with promptly, efficiently, and comprehensively.…”

mentioning

confidence: 99%