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The Effect of the Combined Use of Methylergonovine and Oxytocin during Caesarean Section in the Prevention of Post-partum Haemorrhage

Authors :
Gülşah Balık
Figen Sahin
Halit Arslan
Mehmet Kağıtcı
Şenol Şentürk
Source :
Basic & Clinical Pharmacology & Toxicology. 118:338-343
Publication Year :
2015
Publisher :
Wiley, 2015.

Abstract

We aimed to show to patients the benefit of post-partum haemorrhage prophylaxis treatment and the effectiveness as a uterotonic agent of the combined use of methylergonovine and oxytocin infusion in the prevention of haemorrhage during and after Caesarean section, by comparison with a control group which received oxytocin infusion only. Two groups of patients undergoing Caesarean section at the same clinic were included in the study. A combination of methylergonovine and oxytocin was administered to the first group during the intra-operative and post-operative periods. The second group did not receive methylergonovine and was administered only with oxytocin infusion in the intra-operative and post-operative periods. Pre-operative and post-operative haemogram readings were taken for all patients in each of the groups for comparison. No difference was found between the two groups with regard to mean ages and pre-operative haemogram values. The decrease in post-operative haemoglobin values for the group administered with methylergonovine maleate and oxytocin was found to be significantly greater than for the group administered with oxytocin only. Results indicated that prophylactic methylergonovine treatment was clearly successful for the patients and no adverse side effects were found. The routine use of methylergonovine and oxytocin infusion in combination during the intra-operative period of Caesarean section reduced the level of post-partum haemorrhage considerably. We believe that this procedure will also reduce the risk of uterine atony, but clearly, prospective studies will be necessary in future to confirm this assumption.

Details

ISSN :
17427835
Volume :
118
Database :
OpenAIRE
Journal :
Basic & Clinical Pharmacology & Toxicology
Accession number :
edsair.doi.dedup.....591877626f23476b453ef587ca219c5e
Full Text :
https://doi.org/10.1111/bcpt.12500