Document Detail


Dinoprostone vaginal insert versus intravenous oxytocin to reduce postpartum blood loss following vaginal or cesarean delivery.
MedLine Citation:
PMID:  20420283     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the impact of a dinoprostone vaginal insert and intravenous oxytocin in reducing blood loss of women undergoing vaginal or cesarean delivery. METHODS: This study was conducted among term singleton pregnancies delivered vaginally or by elective cesarean section. In the vaginally delivered cases, active management of the third stage of labor was conducted. During cesarean delivery, 20 IU of intravenous oxytocin was administered. Women, who either delivered via the vaginal or abdominal route, were then randomly allocated to receive 10 mg vaginal dinoprostone insert for 12 hours (group I, n: 100) or intravenous oxytocin (group II, n: 100), respectively. RESULTS: Mean blood loss and need for additional uterotonics and postpartum hemoglobin and hematocrit levels at 24 and 36 hours after delivery did not differ between the two groups. Women allocated to the dinoprostone vaginal insert arm experienced more nausea and vomiting. CONCLUSION: Dinoprostone vaginal insert was as effective as intravenous oxytocin in the prevention of postpartum blood loss.
Authors:
E Ozalp; H M Tanir; T Sener
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Clinical and experimental obstetrics & gynecology     Volume:  37     ISSN:  0390-6663     ISO Abbreviation:  Clin Exp Obstet Gynecol     Publication Date:  2010  
Date Detail:
Created Date:  2010-04-27     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802110     Medline TA:  Clin Exp Obstet Gynecol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  53-5     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Perinatology Unit, Eskisehir Osmangazi University School of Medicine, Meselik Kampusu, Eskisehir, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Administration, Intravaginal
Adult
Delayed-Action Preparations
Delivery, Obstetric
Diarrhea / epidemiology
Dinoprostone / therapeutic use*
Female
Fever / epidemiology
Humans
Infusions, Intravenous
Nausea / epidemiology
Oxytocics / therapeutic use*
Oxytocin / therapeutic use*
Postpartum Hemorrhage / prevention & control*
Pregnancy
Prospective Studies
Shivering
Vomiting / epidemiology
Chemical
Reg. No./Substance:
0/Delayed-Action Preparations; 0/Oxytocics; 363-24-6/Dinoprostone; 50-56-6/Oxytocin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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