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• W2887540831 abstract "This study was conducted in Department of Obstetrics andGynaecology, Government Rajaji Hospital, Madurai. Two hundredpatients under this study were admitted in labour ward and afterconsidering the inclusion criteria and exclusion criteria weredivided into Group A and Group B.Group A patients were given Oxytocin Intramuscularly,Group B patients were given Oxytocin intraumbilically.Results:Age:95% of the patients were between 20-29yrs in Group Aand 96% in Group B•Parity : In Group A 65% were Primi and 35% were Multi. InGroup B 67% were Primi and 33% were multi.•Type of labour : In group A 52% had spontaneous onset oflabour and 17% had induced labour. In group B, 45% hadspontaneous onset of labour and 14% had induced labour.•Method of delivery : 87% in Group A and 83% in Group Bwere delivered by labour naturale with episiotomy. 9% ingroup A and 14% in group B were delivered by outletforceps.•Fall in Hb level is significantly less in group B which isstatistically significant•Duration of 3rd stage : The mean duration of third stage inGroup A is 6.52 minutes and 2.82 min in Group B•Amount of blood loss : The mean blood loss was 241.65 mlin group A, and 155.9 ml in group B•The user of other uterotonics : Methergine was needed in31% in group A and 23% in group B. Prostadin was neededin 5% in group A and 3% in group B.•Blood transfusion and Iron sucrose : The need for postnatalblood transfusion for group A is 3% and for group B it is1%, Iron sucrose was needed for 11% in group A and 3% ingroup B.•Postpartum complications : The incidence of PPH is 4%in group A and 2% in group B. The incidence of retainedplacenta is 1% in group A and 0% in group B.•Maternal effects 24 hrs after delivery : Nausea andvomiting was present in 2% in group A and 1% in group B.Fever was present in 2% in both the groups. Abdominalpain was present in 27% in group A and 29% in group B.Surgical evacuation of retained placental bits was 0% inboth groups.CONCLUSION: Intraumbilical oxytocin is very effective in the activemanagement of third stage.1. It reduces the blood loss and duration of third stage of labour.In intra umbilical group 91% of patients had blood loss lessthan 350 ml.2. The mean duration of third stage was 2.82 minutes in intraumbilical group.3. Complication of third stage like PPH is 2% in intra umbilicalgroup and retained placenta is 0% in intraumbilical group.On Critical evaluation intra umbilical oxytocin is more potentin reducing the amount of blood loss and mean duration ofthird stage of labour compared to intra muscular oxytocin inlow risk population.4. Side effects like nausea, vomiting, headache, fever andabdominal pain are similar to intra muscular group." @default.
• W2887540831 created "2018-08-22" @default.
• W2887540831 creator A5069931807 @default.
• W2887540831 date "2011-03-01" @default.
• W2887540831 modified "2023-09-27" @default.
• W2887540831 title "Critical analysis of effect of Intraumbilical injection of 20 unitsOxytocin on Third stage of labour in Comparison with intramuscular 10 units Oxytocin injection" @default.
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