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Electromyometrial Imaging of Uterine Contractions in Pregnant Women
Published on: May 26, 2023
REMINDER SYSTEMS FOR SELF UTERINE MASSAGE IN THE PREVENTION OF POSTPARTUM BLOOD LOSS
S K Ngichabe1, B W Gatinu, M A Nyangore
1Resident Obsterics and Gynaecology, Aga Khan Univesity Hospital, P.O. Box 30270-00100,Nairobi.
Background:
Uterine massage may significantly reduce post partum blood loss and could be patient-driven.
Objective:
To assess the effectiveness of an alarm reminder system for self uterine massage in the prevention of post partum blood loss.
Design:
A random controlled trial.
Setting:
Meru District Hospital, Kenya.
Subjects:
One hundred and twenty seven (127) women were randomly assigned to a 15 minute alarm reminder system (71) and non-alarm (56) control arm during the fourth stage of labour.
Results:
Uterine massage compliance was better in the alarm group compared to the non-alarm group (Average massage of seven and two in two hours respectively P-value <0.0001), however the difference in blood loss was not significant 45.6 ml (95% CI 43-46) vs 47.1 ml (95% CI 43-52)ml p-value 0.892.
Conclusion:
Uterine massage compliance is remarkably increased by the use of an alarm reminder.
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