Abstract

To study the effect of Intraumbilical Vein Injection of Misoprostol in normal vaginal delivery and to compare the volume of vaginal blood loss in Intraumbilical Vein Injection of Misoprostol versus normal saline in normal vaginal delivery. Materials and methods: This study was conducted in the department of obstetrics and gynecology at Pannadhay Rajkiya Mahila Chikitsalaya, RNT Medical College, Udaipur, Rajasthan. The study was conducted on 100 cases admitted in Labor room of PDMC Udaipur. The study comprised of two groups i.e. Group 1: Umbilical vein injection of misoprostol in 50 cases and Group 2: Umbilical vein injection of normal saline in 50 cases.At the time of admission a detailed history regarding name, age, husband’s name, occupation, education, address and obstetric history was taken regarding patient’s parity, time since last delivery. Intraumbilical vein injection of misoprostol was injected into umbilical vein by 20 cc syringe. The volume of blood loss from the time of umbilical vein injection to delivery of the placenta was measured by placing a pad under the patients buttocks. The pads weighed before use and was weighed after delivery of the placenta using a dedicated electronic scale amount of blood loss was recorded in ml. Results: Average time of placenta separation was more in control group than study group. Overall blood loss is more in control cases than study cases.One case of PPH was noted in control group that in 4th gravida. Conclusion: It can be concluded from the results that injection misoprostol in umbilical vein used in 3rd stage of Labor help in early separation of placenta and reduce blood loss

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