MEAN POSTOPERATIVE BLOOD LOSS IN PATIENTS UNDERGOING CESAREAN SECTION GIVEN PREOPERATI VE MISOPROSTOL
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Keywords
Misoprostol, Blood loss, Caesarean section
Abstract
OBJECTIVE: To determine the mean postoperative blood loss in patients undergoing caesarean section given preoperative misoprostol.
BACKGROUND: Caesarean section (CS) is a vital and common surgical procedure that frequently saves both the mother's and the baby's lives. Cases of C-sections have increased enormously around the world in recent years. Researchers have put a lot of effort to study the complications related to C-sections in order to combat those for prevention and control of perinatal mortality and morbidity.
OBJECTIVE: To assess the mean postoperative blood loss in patients undergoing cesarean section given preoperative misoprostol
STUDY DESIGN: A cross-sectional study
PLACE AND DURATION: This study was conducted in Jinnah Hospital Lahore from July 2019 to January 2020
MATERIALS AND METHODS: Using a non-probability consecutive method, 60 study subjects were indicted for the study. Gravid females presented at ≥ 37 weeks of gestation (as per dating scan) with labour arrest (>3 hours duration at 5 cm dilatation or > 4 hours duration at 6 cm dilatation on clinical examination) or abnormal CTG undergoing CS with ages in the range of 20-40 years were included in the study.
RESULTS: The mean age was 31.0±5.0 years, mean gestational age, BMI, duration of surgery and mean blood loss were 38 .6±1. 1 week, 27.3±2.6 kg/m2, 39.5±10.3 minutes and 255.08±117.39 ml respectively.
There were 22 primigravida (36.7%) and 38 multigravida (63.3%). According to the findings, 43 (71.67%) women had a gestational age of 37 to 39 weeks and 17 (28.33%) women had a gestational age of 40-41 weeks, 11 (18.33%) women had BMI more than 25 Kg/m2 and 49 (81.67%) women had BMI less than 25 Kg/m2.
CONCLUSION: The study concluded that sublingual misoprostol is an excellent uterotonic drug in the management of postoperative caesarean section blood loss. Clinical guidelines and treatment procedures should be updated to reflect the most recent information on the efficacy of misoprostol for the treatment of blood loss associated with caesarean delivery.
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Anam Rashid
consultant Obstetrics and Gynaecology, Jinnah Hospital Lahore Pakistan
Rabia Khursheed
consultant Obstetrics and Gynaecology, Jinnah Hospital Lahore Pakistan
Ulvina Khalid
consultant Specialist Obstetrics and Gynaecology, Indus Hospital Raiwind campus Lahore Pakistan
Noor Ul Huda
consultant Obstetrics and Gynaecology, Indus Hospital Raiwind campus Lahore Pakistan
Yusra Javed
consultant Obstetrics and Gynaecology, Jinnah Hospital Lahore Pakistan
Mehwish Saleem
consultant Obstetrics and Gynaecology THQ Hospital Mian mir Lahore Pakistan