MEAN POSTOPERATIVE BLOOD LOSS IN PATIENTS UNDERGOING CESAREAN SECTION GIVEN PREOPERATI VE MISOPROSTOL

Main Article Content

Anam Rashid
Rabia Khursheed
Ulvina Khalid
Noor Ul Huda
Yusra Javed
Mehwish Saleem

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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