A Prospective and Clinical Study of Post-Partum Blood Loss in Induced Versus Spontaneous Vaginal Delivery
- 1. Assistant Professor, Department of Obstetrics and Gynaecology, Madhubani Medical College and Hospital, Madhubani, Bihar
- 2. Professor and Head of Department, Department of Obstetrics and Gynaecology, Madhubani Medical College and Hospital, Madhubani, Bihar
Description
Background: The diagnosis and treatment of postpartum hemorrhage (PPH), a dangerous obstetric complication, depend heavily on real-time blood loss measurement. Predelivery and postdelivery blood hemoglobin and hematocrit measurements are used to evaluate postpartum blood loss in vaginal births. This study compares third stage blood loss in vaginal deliveries that are induced vs those that occur spontaneously and it looks at the relationship between blood loss and the drop in hemoglobin after delivery. Methods: From January 2023 to September 2023, the current prospective and clinical study was carried out in the obstetrics and gynecology department of the Madhubani Medical College and Hospital in Madhubani, Bihar. Using specialized collecting bags, blood loss after placental births was assessed in 150 pregnant women who delivered vaginally via labor induction, and the results were compared to those of another 50 women who delivered vaginally on their own. Prior to labor and following childbirth, each patient’s hemoglobin levels were documented. Results: The spontaneous group had a mean blood loss of 172 ± 114 mL, while the induced group had a mean blood loss of 30 mL less (p=0.12). However, this difference was not statistically significant. Comparing the oxytocin group’s blood loss (327 ± 140 mL) to other labor induction types and spontaneous deliveries, however, revealed a considerably greater blood loss due to the diverse induction techniques used. In comparison to spontaneous deliveries, prostaglandin-assisted labor induction did not result in increased blood loss. Post-delivery hemoglobin values in both the induced and spontaneous delivery groups showed statistically significant drops; however, the induced group’s drop was comparatively greater than the spontaneous vaginal delivery group’s (0.96gm/dL vs. 0.56gm/dL), which also appeared to be statistically significant (p=0.001). Conclusion: Using prostaglandins for labor induction is safer than using oxytocin. For all deliveries, it is crucial to accurately estimate blood loss in order to identify postpartum hemorrhage early and take the necessary action.
Abstract (English)
Background: The diagnosis and treatment of postpartum hemorrhage (PPH), a dangerous obstetric complication, depend heavily on real-time blood loss measurement. Predelivery and postdelivery blood hemoglobin and hematocrit measurements are used to evaluate postpartum blood loss in vaginal births. This study compares third stage blood loss in vaginal deliveries that are induced vs those that occur spontaneously and it looks at the relationship between blood loss and the drop in hemoglobin after delivery. Methods: From January 2023 to September 2023, the current prospective and clinical study was carried out in the obstetrics and gynecology department of the Madhubani Medical College and Hospital in Madhubani, Bihar. Using specialized collecting bags, blood loss after placental births was assessed in 150 pregnant women who delivered vaginally via labor induction, and the results were compared to those of another 50 women who delivered vaginally on their own. Prior to labor and following childbirth, each patient’s hemoglobin levels were documented. Results: The spontaneous group had a mean blood loss of 172 ± 114 mL, while the induced group had a mean blood loss of 30 mL less (p=0.12). However, this difference was not statistically significant. Comparing the oxytocin group’s blood loss (327 ± 140 mL) to other labor induction types and spontaneous deliveries, however, revealed a considerably greater blood loss due to the diverse induction techniques used. In comparison to spontaneous deliveries, prostaglandin-assisted labor induction did not result in increased blood loss. Post-delivery hemoglobin values in both the induced and spontaneous delivery groups showed statistically significant drops; however, the induced group’s drop was comparatively greater than the spontaneous vaginal delivery group’s (0.96gm/dL vs. 0.56gm/dL), which also appeared to be statistically significant (p=0.001). Conclusion: Using prostaglandins for labor induction is safer than using oxytocin. For all deliveries, it is crucial to accurately estimate blood loss in order to identify postpartum hemorrhage early and take the necessary action.
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IJPCR,Vol15,Issue12,Article163.pdf
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Additional details
Dates
- Accepted
-
2023-11-30
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue12,Article163.pdf
- Development Status
- Active
References
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