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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.
East African Medical Journal
|February 10, 2016
Summary
An alarm reminder system significantly improved uterine massage compliance in postpartum women. However, this did not lead to a significant reduction in postpartum blood loss.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Clinical Trials
Background:
- Postpartum hemorrhage remains a significant concern in maternal mortality.
- Uterine massage is a recognized intervention to reduce postpartum blood loss.
- Patient-driven interventions like self-massage show promise.
Purpose of the Study:
- To evaluate the efficacy of an alarm reminder system for self-administered uterine massage.
- To determine if this system reduces postpartum blood loss.
Main Methods:
- A randomized controlled trial was conducted with 127 women at Meru District Hospital, Kenya.
- Participants were assigned to either a 15-minute alarm reminder system or a non-alarm control group.
- Compliance with uterine massage was monitored over two hours postpartum.
Main Results:
- Uterine massage compliance was significantly higher in the alarm group (average 7 massages) compared to the control group (average 2 massages) (P < 0.0001).
- Despite improved compliance, the difference in mean blood loss between the groups was not statistically significant (45.6 ml vs 47.1 ml, P = 0.892).
Conclusions:
- An alarm reminder system effectively enhances compliance with self-administered uterine massage.
- Further research is needed to determine if improved compliance translates to reduced postpartum blood loss.
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