Durgadevi, C (2011) Critical analysis of effect of Intraumbilical injection of 20 units Oxytocin on Third stage of labour in Comparison with intramuscular 10 units Oxytocin injection. Masters thesis, Madurai Medical College, Madurai.
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Abstract
This study was conducted in Department of Obstetrics and Gynaecology, Government Rajaji Hospital, Madurai. Two hundred patients under this study were admitted in labour ward and after considering the inclusion criteria and exclusion criteria were divided into Group A and Group B. Group A patients were given Oxytocin Intramuscularly, Group B patients were given Oxytocin intraumbilically. Results: Age:95% of the patients were between 20-29yrs in Group A and 96% in Group B • Parity : In Group A 65% were Primi and 35% were Multi. In Group B 67% were Primi and 33% were multi. • Type of labour : In group A 52% had spontaneous onset of labour and 17% had induced labour. In group B, 45% had spontaneous onset of labour and 14% had induced labour. • Method of delivery : 87% in Group A and 83% in Group B were delivered by labour naturale with episiotomy. 9% in group A and 14\% in group B were delivered by outlet forceps. • Fall in Hb level is significantly less in group B which is statistically significant • Duration of 3rd stage : The mean duration of third stage in Group A is 6.52 minutes and 2.82 min in Group B • Amount of blood loss : The mean blood loss was 241.65 ml in group A, and 155.9 ml in group B • The user of other uterotonics : Methergine was needed in 31% in group A and 23% in group B. Prostadin was needed in 5% in group A and 3% in group B. • Blood transfusion and Iron sucrose : The need for postnatal blood transfusion for group A is 3% and for group B it is 1%, Iron sucrose was needed for 11% in group A and 3% in group B. • Postpartum complications : The incidence of PPH is 4% in group A and 2% in group B. The incidence of retained placenta is 1% in group A and 0% in group B. • Maternal effects 24 hrs after delivery : Nausea and vomiting was present in 2% in group A and 1% in group B. Fever was present in 2% in both the groups. Abdominal pain was present in 27% in group A and 29% in group B. Surgical evacuation of retained placental bits was 0% in both groups. CONCLUSION: Intraumbilical oxytocin is very effective in the active management of third stage. 1. It reduces the blood loss and duration of third stage of labour. In intra umbilical group 91% of patients had blood loss less than 350 ml. 2. The mean duration of third stage was 2.82 minutes in intra umbilical group. 3. Complication of third stage like PPH is 2% in intra umbilical group and retained placenta is 0% in intraumbilical group. On Critical evaluation intra umbilical oxytocin is more potent in reducing the amount of blood loss and mean duration of third stage of labour compared to intra muscular oxytocin in low risk population. 4. Side effects like nausea, vomiting, headache, fever and abdominal pain are similar to intra muscular group.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Critical analysis ; Intraumbilical injection ; 20 units Oxytocin ; Third stage of labour ; Comparison ; intramuscular 10 units Oxytocin injection. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 05 Dec 2017 02:29 |
| Last Modified: | 05 Dec 2017 02:29 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/4252 |
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