PROPHYLACTIC USE OF 15(S)15 METHYL PGF_2α , BY INTRAMUSCULAR ROUTE - A CONTROLLED CLINICAL TRIAL

In a multicentre study the safety and efficacy of 125 µg intramuscular injection of 15(S)15 methyl PGF_2α , (Prostin 15M, Upjohn) was compared with ergometrine and controls who did not receive any oxytocic for prophylactic control of postpartum bleeding. The study included 441 patients. The duration of third stage was shortened to 6.1 minutes following ergometrine and to 3.5 minutes following Prostin 15M compared to 7.6 minutes in the control subjects. Similarly the blood loss during third stage was less (95.2 ml) in Prostin 15M treated group compared to the untreated control group (233.2 ml). Prostin 15M, when used prophylactically, was also better than ergometrine (154.0 ml) in controlling the blood loss during third stage of labour in normal vaginal delivery.