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Notice bibliographique (sans auteurs) :

[Evaluation and efficacy of preventive measures in intrapartum bleeding.]Rev Calid Asist. 2010 Jan 25. [Epub ahead of print]

Auteur·e(s) :

Cabrera-Guerra Y, Pascual-Pedreño A, Hernández-Martínez A, Mayorga-Campo M, Martínez-Bermejo MT, Bueno-Pacheco G.

Année de publication :

2010

URL(s) :

http://www.ncbi.nlm.nih.gov/pubmed/20106693
https://doi.org/10.1016/j.cali.2009.12.002

Résumé (français)  :

Abstract (English)  :

OBJECTIVES: To evaluate the efficacy, applicability and safety of two recently introduced preventive-restrictive measures on the use of episiotomy and active management of the third stage of labour, in order to reduce puerperal bleeding results. MATERIAL AND METHOD: Cohort study of a prospective series of 1098 women who gave birth in the Obstetrics and Gynaecology Department of the La Mancha General Hospital. Data were collected in two phases (1st phase, before applying the measures: 591; 2nd phase, after: 507). The main objective was to assess intrapartum blood loss. The independent variables analysed were active management of the third stage of labour and episiotomy rate. Age, parity, prematurity, weight of the newborn child, analgesia, duration and type of childbirth (spontaneous or induced), tears, retained placenta and neonatal results were included as control variables. Caesarean deliveries and those cases with increased bleeding risk factors were excluded. RESULTS: Both postpartum anaemia and excessive hemorrhagic loss were significantly lowered (8.7% and 50% respectively). Likewise, episiotomy rate was also significantly reduced (8.6%) and active management of the third stage of labour increased to 86.6%. Neonatal outcome results did not change throughout the study. CONCLUSIONS: The restrictive use of episiotomy and active management during the third stage of labour were effective, and with no side effects, in reducing intrapartum blood loss and improving puerperal quality of life. Copyright © 2009 SECA. Published by Elsevier Espana. All rights reserved.

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Resumen (español)  :

Remarques :

[Article in Spanish]

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Mots-clés :

➡ épisiotomie ; hémorragie postpartum

Auteur·e de cette fiche :

Emmanuelle Phan — 24 Mar 2010