Comparison of the Effect of Three Different Methods in Reducing Primary Postpartum Hemorrhage

Authors : Zümrüt BİLGİN, Nuran KÖMÜRCÜ

Pages : 400-406

Doi:10.33808/clinexphealthsci.741409

View : 21 | Download : 6

Publication Date : 2020-12-30

Article Type : Research Paper

Abstract :Objective: The aim of this study was to determine the effects of three different methods in reducing primary postpartum hemorrhage. Methods: The study was carried out in Istanbul/Turkey with 150 people at a maternity hospital. The participants were assigned to the external  circular fundus massage insert ignore into journalissuearticles values(ECFM); insert ignore into journalissuearticles values(n=50);, external bimanual fundus compression insert ignore into journalissuearticles values(EBFC); insert ignore into journalissuearticles values(n=50); and control insert ignore into journalissuearticles values(C); insert ignore into journalissuearticles values(n=50); groups with the simple  randomization method. The women in the experiment groups of external circular fundus massage or external bimanual uterus fundus  compression received intervention for one hour in the postpartum period. At the 6th postpartum hour, the hemogram values and total lochia  amount of all women were measured. Results: The mean ± standard deviation insert ignore into journalissuearticles values(SD); age of the women was 24.77±4.40 years, 63.3% were having their first birth, and 47.3% gained  weight between 11 and 16 kg in their pregnancy. There was no significant difference between the groups in terms of the mean ± SD Hb at the  6th postpartum hour insert ignore into journalissuearticles values(ECFM group=11.5±1.1; EBFC Group =11.7±3.6; C group =11.4±1.0 g /dL, F= 0.371, p = 0.691);. In comparison to the ECFM  and C groups, the 2nd postpartum hour visual analog scale insert ignore into journalissuearticles values(VAS); score of the EBFC group was found to be significantly lower insert ignore into journalissuearticles values(p<0.05);. Conclusion: The hemoglobin and thrombocyte levels at the 6th postpartum hour were higher in the EBFC group in comparison to the other  groups, while the hematocrit value decreased more. Since EBFC is effective in reducing postpartum pain, it is recommended to be applied  especially to women with postpartum pain.
Keywords : delivery, postpartum hemorrhage, hemoglobin, randomized controlled, uterus massage