drug was administered by the assistant immediately after delivery of the baby--Syntocinon, Methergine and misoprostol to 50 mothers of group A, B and C respectively.
Instead of repeating syntocinon and other oxytocics
B-lynch application can be considered as it will bypass the hemodynamic effects of repeated doses of oxytocic
drugs in these high risk patients, but its role in prophylaxis is still not clear10.
Most Christian Health Association of Malawi (CHAM) hospitals and district hospitals in the public sector provide emergency obstetric care (EmOC), which includes the administration of parenteral antibiotics, oxytocic
drugs and anticonvulsants, as well as manual removal of the placenta, the removal of retained products, assisted vaginal delivery, surgery (cesarean sections) and blood transfusions.
Once the uterus is replaced, administer oxytocic
agents and check the patient frequently for the next 4-6 hours because of the increased risk for another uterine inversion, he advised.
This can be a choice of oxytocic
in developing countries like ours, where storage facilities and resources are limited.
Although the cardiovascular effects of oxytocin may have complicated the haemodynamic picture, at the time there was no evidence of hypotension and the decision was made to administer the oxytocic
Diphenhydramine also interacts with temazepam (Restoril), and has oxytocic
properties when administered intravenously near term.
Firstly, uterine sensitivity to oxytocic
agents appear to be less.
One group received 600mcg sublingual misoprostol (Parke-Davis) combined with standard oxytocic
treatment and the other group received intramyometrial PGF2a (Prostin F2alpha, Dinoprost- Parke-Davis) combined with standard oxytocic
for treatment of primary PPH.
Post-partum blood loss is greater with precipitate labour and oxytocin--and prostaglandininduced labours, unless an oxytocic
agent is continued after delivery.
Why misoprostol might increase the incidence of uterine rupture in comparison with other oxytocic
agents is unknown, but Dr.
Prostaglandins have a direct oxytocic
effect as well as a direct action on ripening of the cervix.