Uterine Massage to Reduce Blood Loss After Vaginal Delivery

• DOI: 10.1097/aog.0b013e3182999085
• Publication Date: 2013-07-09T13:45:17Z
• Authors: Meng Chen; Qing Chang; Tony Duan; Jing He; Li Zhang; Xinghui Liu
• Keywords: Adult; Massage; Postpartum Hemorrhage; Uterus; Parturition; Delivery, Obstetric; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Pregnancy; Humans; Female

In Brief OBJECTIVE: To evaluate whether sustained transabdominal uterine massage can reduce blood loss after vaginal delivery. METHODS: this multicenter randomized controlled trial, eligible women who had delivered vaginally were randomly assigned to receive 10 units oxytocin intramuscularly immediately delivery of the shoulder plus 30 minutes placenta or alone. The primary outcome was 400 mL more in 2 hours neonate. Secondary outcomes included 1,000 more, delivery, use therapeutic uterotonics other hemostatic procedures, hemoglobin lower than 80 g/L before discharge, and need for transfusion. Analysis by intent treat. With a one-sided α 0.05 power 0.8, sample size 1,061 per group calculated detect 3% absolute decrease outcome. RESULTS: Of 2,340 women, 1,170 oxytocin-only group. Baseline characteristics similar both groups. incidence not significantly different between two groups (143/1,170 [12.2%] compared with 144/1,170 [12.3%]; relative risk 0.99, 95% confidence interval 0.88–1.13) according intent-to-treat analysis 0.8. No significant differences found secondary outcomes. CONCLUSION: patients vaginally, addition does when administration CLINICAL TRIAL REGISTRATION: Chinese Clinical Trial Registry, www.chictr.org, ChiCTR-TRC-11001763. LEVEL OF EVIDENCE: I Routine is necessary administered.